11D2254493 CLIA NUMBER - NORTH GEORGIA EYE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 11D2254493
  • Facility Name: NORTH GEORGIA EYE ASSOCIATES
  • Facility Address: 4285 JIM MOORE ROAD, SUITE 103
    DACULA, GA
    ZIP 30019
  • Facility Phone: 770 534-1711
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW KAUFMAN
  • NPI Number: 1497882500
  • Taxonomy: 156FX1100X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 11D2254493
LAB Type Physician Office
Facility Name NORTH GEORGIA EYE ASSOCIATES
Street 4285 JIM MOORE ROAD, SUITE 103
City DACULA
State GA
ZIP 30019
Phone 770 534-1711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Physician Office
Lab Director MATTHEW KAUFMAN

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