11D2260343 CLIA NUMBER - COBB EYE CENTER

Laboratory Demographics

  • CLIA Code: 11D2260343
  • Facility Name: COBB EYE CENTER
  • Facility Address: 290 MERCHANTS SQUARE SUITE I
    DALLAS, GA
    ZIP 30132
  • Facility Phone: 770 217-6381
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GERARDO PARADA
  • NPI Number: 1265587059
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 11D2260343
LAB Type Physician Office
Facility Name COBB EYE CENTER
Street 290 MERCHANTS SQUARE SUITE I
City DALLAS
State GA
ZIP 30132
Phone 770 217-6381
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Physician Office
Lab Director GERARDO PARADA

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