11D2314903 CLIA NUMBER - AHMED FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 11D2314903
  • Facility Name: AHMED FAMILY PRACTICE
  • Facility Address: 237 UPPER RIVERDALE ROAD SW
    RIVERDALE, GA
    ZIP 30274
  • Facility Phone: 404 968-9469
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KASHIF AHMED
  • NPI Number: 1831579812
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2314903
LAB Type Physician Office
Facility Name AHMED FAMILY PRACTICE
Street 237 UPPER RIVERDALE ROAD SW
City RIVERDALE
State GA
ZIP 30274
Phone 404 968-9469
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director KASHIF AHMED

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