11D2282728 CLIA NUMBER - SOUTHEAST DERMATOLOGY SPECIALISTS

Laboratory Demographics

  • CLIA Code: 11D2282728
  • Facility Name: SOUTHEAST DERMATOLOGY SPECIALISTS
  • Facility Address: 5555 PEACHTREE DUNWOODY ROAD, NE, SUITE 281
    ATLANTA, GA
    ZIP 30342
  • Facility Phone: 678 702-3376
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: FIRAS G. HOUGEIR
  • NPI Number: 1073584207
  • Taxonomy: 207VX0201X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2282728
LAB Type Physician Office
Facility Name SOUTHEAST DERMATOLOGY SPECIALISTS
Street 5555 PEACHTREE DUNWOODY ROAD, NE, SUITE 281
City ATLANTA
State GA
ZIP 30342
Phone 678 702-3376
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 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director FIRAS G. HOUGEIR

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