11D2299268 CLIA NUMBER - NORTHSIDE BARIATRIC INNOVATIONS OF ATLANTA -DULUTH

Laboratory Demographics

  • CLIA Code: 11D2299268
  • Facility Name: NORTHSIDE BARIATRIC INNOVATIONS OF ATLANTA -DULUTH
  • Facility Address: 3790 PLESANT HILL ROAD, SUITE 250
    DULUTH, GA
    ZIP 30096
  • Facility Phone: 678 312-6200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JYOTI MANEKAR
  • NPI Number: 1134168016
  • Taxonomy: 273Y00000X - Rehabilitation Unit

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2299268
LAB Type Physician Office
Facility Name NORTHSIDE BARIATRIC INNOVATIONS OF ATLANTA -DULUTH
Street 3790 PLESANT HILL ROAD, SUITE 250
City DULUTH
State GA
ZIP 30096
Phone 678 312-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Physician Office
Lab Director JYOTI MANEKAR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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