11D2244739 CLIA NUMBER - ATLANTA PERSONALIZED MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 11D2244739
  • Facility Name: ATLANTA PERSONALIZED MEDICINE LLC
  • Facility Address: 5667 PEACHTREE DUNWOODY ROAD, SUITE 200
    ATLANTA, GA
    ZIP 30342
  • Facility Phone: 678 961-4100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID F. RODRIGUEZ
  • NPI Number: 1740947035
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2244739
LAB Type Physician Office
Facility Name ATLANTA PERSONALIZED MEDICINE LLC
Street 5667 PEACHTREE DUNWOODY ROAD, SUITE 200
City ATLANTA
State GA
ZIP 30342
Phone 678 961-4100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Physician Office
Lab Director DAVID F. RODRIGUEZ

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