11D2278434 CLIA NUMBER - HILLANDALE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 11D2278434
  • Facility Name: HILLANDALE PRIMARY CARE
  • Facility Address: 2523 PANOLA ROAD
    LITHONIA, GA
    ZIP 30058
  • Facility Phone: 770 322-9660
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAIRA NIAZ
  • NPI Number: 1811422322
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2278434
LAB Type Physician Office
Facility Name HILLANDALE PRIMARY CARE
Street 2523 PANOLA ROAD
City LITHONIA
State GA
ZIP 30058
Phone 770 322-9660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Physician Office
Lab Director SAIRA NIAZ

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