11D2212768 CLIA NUMBER - DR MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 11D2212768
  • Facility Name: DR MEDICAL ASSOCIATES
  • Facility Address: 6853 B DOUGLAS BOULEVARD
    DOUGLASVILLE, GA
    ZIP 30135
  • Facility Phone: 770 731-1114
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EARL C. JOYNER
  • NPI Number: 1982346151
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2212768
LAB Type Physician Office
Facility Name DR MEDICAL ASSOCIATES
Street 6853 B DOUGLAS BOULEVARD
City DOUGLASVILLE
State GA
ZIP 30135
Phone 770 731-1114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Physician Office
Lab Director EARL C. JOYNER

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