NPI age
19 years
Enumerated 2006-09-26
● Active Type 2 · Organization
Gwinnett Clinic, Ltd
Gwinnett Clinic, Ltd is 1 of 621 clinical medical laboratory organizations in Georgia.
Primary specialty
Clinical Medical Laboratory
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Shah
Authorized Official
Last NPPES update
2023-01-25
Source: monthly bulk 2026-05
How this organization compares
Across 621 active clinical medical laboratory providers in Georgia.
NPI age
19 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
475 Philip Blvd Ste 301
Lawrenceville, GA 300468737
Mailing address
10600 Medlock Bridge Rd
Duluth, GA 300978404
Authorized official
Deep Shah, MD, MSC
Authorized Official
📞 7709953300
Specialties
-
Clinical Medical Laboratory Primary(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11D1001114 | CLIA |
Practice context
Single-site organization. Only one practice location on file.
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