11D2300673 CLIA NUMBER - SPRINGS DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 11D2300673
  • Facility Name: SPRINGS DERMATOLOGY
  • Facility Address: 6400 BLUE STONE ROAD, SUITE 150
    SANDY SPRINGS, GA
    ZIP 30328
  • Facility Phone: 470 769-9400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHEREEN TIMANI
  • NPI Number: 1679158885
  • Taxonomy: 207ND0900X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 11D2300673
LAB Type Physician Office
Facility Name SPRINGS DERMATOLOGY
Street 6400 BLUE STONE ROAD, SUITE 150
City SANDY SPRINGS
State GA
ZIP 30328
Phone 470 769-9400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Physician Office
Lab Director SHEREEN TIMANI

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