11D2222359 CLIA NUMBER - PEACH STATE MEDICAL PRACTICE PC DBA KINDBODY OF GA

Laboratory Demographics

  • CLIA Code: 11D2222359
  • Facility Name: PEACH STATE MEDICAL PRACTICE PC DBA KINDBODY OF GA
  • Facility Address: 3005 PEACHTREE ROAD, NORTHEAST
    ATLANTA, GA
    ZIP 30305
  • Facility Phone: 470 765-6347
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. ABEER SALHIA RAFATI
  • NPI Number: 1891390084
  • Taxonomy: 207VE0102X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2222359
LAB Type Physician Office
Facility Name PEACH STATE MEDICAL PRACTICE PC DBA KINDBODY OF GA
Street 3005 PEACHTREE ROAD, NORTHEAST
City ATLANTA
State GA
ZIP 30305
Phone 470 765-6347
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Physician Office
Lab Director DR. ABEER SALHIA RAFATI

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