11D2198332 CLIA NUMBER - PREFERRED VASCULAR SERVICES SOUTHWEST, LLC

Laboratory Demographics

  • CLIA Code: 11D2198332
  • Facility Name: PREFERRED VASCULAR SERVICES SOUTHWEST, LLC
  • Facility Address: 3885 PRINCETON LAKES WAY SW SUITE 312B
    ATLANTA, GA
    ZIP 30331
  • Facility Phone: 239 597-2010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHRENIK SHAH
  • NPI Number: 1598037822
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D2198332
LAB Type Physician Office
Facility Name PREFERRED VASCULAR SERVICES SOUTHWEST, LLC
Street 3885 PRINCETON LAKES WAY SW SUITE 312B
City ATLANTA
State GA
ZIP 30331
Phone 239 597-2010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Physician Office
Lab Director SHRENIK SHAH

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This page was last updated on: 9/29/2025