11D2284761 CLIA NUMBER - THERAPEUTIC GI ASSOCIATES BROOKHAVEN

Laboratory Demographics

  • CLIA Code: 11D2284761
  • Facility Name: THERAPEUTIC GI ASSOCIATES BROOKHAVEN
  • Facility Address: 3925 PEACHTREE ROAD, NE, SUITE 200
    ATLANTA, GA
    ZIP 30319
  • Facility Phone: 770 400-9186
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN E. WOODS
  • NPI Number: 1477199347
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2284761
LAB Type Physician Office
Facility Name THERAPEUTIC GI ASSOCIATES BROOKHAVEN
Street 3925 PEACHTREE ROAD, NE, SUITE 200
City ATLANTA
State GA
ZIP 30319
Phone 770 400-9186
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Physician Office
Lab Director KEVIN E. WOODS

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