11D2288265 CLIA NUMBER - INFECTIOUS DISEASE CONSULTANTS, PC

Laboratory Demographics

  • CLIA Code: 11D2288265
  • Facility Name: INFECTIOUS DISEASE CONSULTANTS, PC
  • Facility Address: 5400 LAUREL SPRINGS, SUITE 1404
    SUWANEE, GA
    ZIP 30024
  • Facility Phone: 678 347-2153
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW PUGLIESE
  • NPI Number: 1225087745
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2288265
LAB Type Physician Office
Facility Name INFECTIOUS DISEASE CONSULTANTS, PC
Street 5400 LAUREL SPRINGS, SUITE 1404
City SUWANEE
State GA
ZIP 30024
Phone 678 347-2153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director ANDREW PUGLIESE

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