11D2206476 CLIA NUMBER - SAS MEDICAL, LLC DBA FLOURISH PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D2206476
  • Facility Name: SAS MEDICAL, LLC DBA FLOURISH PEDIATRICS
  • Facility Address: 8601 DUNWOODY PLACE
    SANDY SPRINGS, GA
    ZIP 30350
  • Facility Phone: 404 545-6969
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SMITH A. SHAYNA
  • NPI Number: 1063025690
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D2206476
LAB Type Physician Office
Facility Name SAS MEDICAL, LLC DBA FLOURISH PEDIATRICS
Street 8601 DUNWOODY PLACE
City SANDY SPRINGS
State GA
ZIP 30350
Phone 404 545-6969
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director SMITH A. SHAYNA

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