11D2296484 CLIA NUMBER - GEORGIA DERMATOLOGY SPECIALISTS OF COWETA CTY, LLC

Laboratory Demographics

  • CLIA Code: 11D2296484
  • Facility Name: GEORGIA DERMATOLOGY SPECIALISTS OF COWETA CTY, LLC
  • Facility Address: 3400 OLD MILTON PKWY, SUITE C565
    ALPHARETTA, GA
    ZIP 30005
  • Facility Phone: 770 664-1012
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KEHINDE R. OLUMESI
  • NPI Number: 1427502202
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 11D2296484
LAB Type Physician Office
Facility Name GEORGIA DERMATOLOGY SPECIALISTS OF COWETA CTY, LLC
Street 3400 OLD MILTON PKWY, SUITE C565
City ALPHARETTA
State GA
ZIP 30005
Phone 770 664-1012
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 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Physician Office
Lab Director KEHINDE R. OLUMESI

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