11D2327533 CLIA NUMBER - SCOTTISH RITE MEDICAL OFFICE BUILDING

Laboratory Demographics

  • CLIA Code: 11D2327533
  • Facility Name: SCOTTISH RITE MEDICAL OFFICE BUILDING
  • Facility Address: 5461 MERIDIAN MARK ROAD NE
    ATLANTA, GA
    ZIP 30342
  • Facility Phone: 404 785-2443
  • Facility Type: Other - OUTPATIENT CLINIC
  • Facility Type: Waiver
  • Lab Director: DR. CARY SAUER
  • NPI Number: 1922178789
  • Taxonomy: 282NC2000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 11D2327533
LAB Type Other - OUTPATIENT CLINIC
Facility Name SCOTTISH RITE MEDICAL OFFICE BUILDING
Street 5461 MERIDIAN MARK ROAD NE
City ATLANTA
State GA
ZIP 30342
Phone 404 785-2443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Other - OUTPATIENT CLINIC
Lab Director DR. CARY SAUER

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