11D2260956 CLIA NUMBER - PEACH DERMATOLOGY PC

Laboratory Demographics

  • CLIA Code: 11D2260956
  • Facility Name: PEACH DERMATOLOGY PC
  • Facility Address: 335 PEACHTREE INDUSTRIAL BLVD, SUITE 2210
    SUWANEE, GA
    ZIP 30024
  • Facility Phone: 770 676-2200
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: WAQAS R. SHAIKH
  • NPI Number: 1447901863
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 11D2260956
LAB Type Physician Office
Facility Name PEACH DERMATOLOGY PC
Street 335 PEACHTREE INDUSTRIAL BLVD, SUITE 2210
City SUWANEE
State GA
ZIP 30024
Phone 770 676-2200
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Physician Office
Lab Director WAQAS R. SHAIKH

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