11D2315377 CLIA NUMBER - LUMERA DERMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 11D2315377
  • Facility Name: LUMERA DERMATOLOGY LLC
  • Facility Address: 3400 OLD MILTON PARKWAY, SUITE C370
    ALPHARETTA, GA
    ZIP 30005
  • Facility Phone: 404 737-4500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANJALI S. VEKARIA
  • NPI Number: 1386407781
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 11D2315377
LAB Type Physician Office
Facility Name LUMERA DERMATOLOGY LLC
Street 3400 OLD MILTON PARKWAY, SUITE C370
City ALPHARETTA
State GA
ZIP 30005
Phone 404 737-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director ANJALI S. VEKARIA

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This page was last updated on: 6/4/2025