11D2257840 CLIA NUMBER - PEACHPOINT CLINIC

Laboratory Demographics

  • CLIA Code: 11D2257840
  • Facility Name: PEACHPOINT CLINIC
  • Facility Address: 2914 VINSON COURT
    BUFORD, GA
    ZIP 30518
  • Facility Phone: (678) 904-4500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FOLAKE AMINU
  • NPI Number: 1972253243
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2257840
LAB Type Physician Office
Facility Name PEACHPOINT CLINIC
Street 2914 VINSON COURT
City BUFORD
State GA
ZIP 30518
Phone 6789044500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2026
Certificate Expiration Date 4/11/2028
Facility Type Physician Office
Lab Director FOLAKE AMINU

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This page was last updated on: 5/15/2026