11D2307127 CLIA NUMBER - LOTUS VISION

Laboratory Demographics

  • CLIA Code: 11D2307127
  • Facility Name: LOTUS VISION
  • Facility Address: 3400A OLD MILTON PARKWAY, SUITE 520
    ALPHARETTA, GA
    ZIP 30005
  • Facility Phone: 678 762-1700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AJIT NEMI
  • NPI Number: 1184885105
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 11D2307127
LAB Type Physician Office
Facility Name LOTUS VISION
Street 3400A OLD MILTON PARKWAY, SUITE 520
City ALPHARETTA
State GA
ZIP 30005
Phone 678 762-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Physician Office
Lab Director AJIT NEMI

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