44D2111056 CLIA NUMBER - PURE DIAGNOSTIC LLC

Laboratory Demographics

  • CLIA Code: 44D2111056
  • Facility Name: PURE DIAGNOSTIC LLC
  • Facility Address: 4025 PLEASANTDALE ROAD, BLDG 500, SUITE 525
    ATLANTA, GA
    ZIP 30340
  • Facility Phone: 800 303-1146
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. MICHAEL B. KOCH
  • NPI Number: 1659726487
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 44D2111056
LAB Type Independent
Facility Name PURE DIAGNOSTIC LLC
Street 4025 PLEASANTDALE ROAD, BLDG 500, SUITE 525
City ATLANTA
State GA
ZIP 30340
Phone 800 303-1146
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Independent
Lab Director DR. MICHAEL B. KOCH

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