GWINNETT CLINIC, LTD
NPI 1609977198
Clinical Medical Laboratory in Lawrenceville, GA

Active since September 26, 2006CLIA Certified · 2 labs
475 PHILIP BLVD STE 301, LAWRENCEVILLE, GA 30046(678) 226-6203(770) 995-3307 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jan 25, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Gwinnett Clinic, Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWINNETT CLINIC, LTD (NPI 1609977198) is a healthcare organization registered as a clinical medical laboratory in Lawrenceville, Georgia and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists Deep Shah, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1609977198
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameGWINNETT CLINIC, LTD
Location Address475 PHILIP BLVD STE 301Lawrenceville, GA 30046-8737
Mailing Address10600 Medlock Bridge RdDuluth, GA 30097-8404
Fax(770) 995-3307
Organization SubpartNo
Authorized OfficialDeep ShahAuthorized Official · (770) 995-3300
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJanuary 25, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
NPI 1609977198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(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 body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
475 PHILIP BLVD STE 301, Lawrenceville, GA 30046

Other Identifiers 1

Other11D1001114GA · Clia

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 11D1001114

Gwinnett Clinic Ltd · Lawrenceville, GA
Active · expires Feb 10, 2027
CLIA Number11D1001114
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorDr. Meena J. Shah
Laboratory Phone(678) 226-6203
Laboratory LocationGwinnett Clinic Ltd475 Philip Boulevard, Suite 301, Lawrenceville, GA 30046
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Accreditation 11D2094338

Gwinnett Clinic · Lawrenceville, GA
Active · expires Sep 30, 2026
CLIA Number11D2094338
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 14, 2015
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorBrian Webber
Laboratory Phone(404) 321-6111
Laboratory LocationGwinnett Clinic1970 Riverside Parkway NW, Lawrenceville, GA 30043
CLIA data matches this NPI record on: Name
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwinnett Clinic, Ltd's NPI number?

The NPI number for Gwinnett Clinic, Ltd is 1609977198. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Gwinnett Clinic, Ltd located?

Gwinnett Clinic, Ltd is located at 475 Philip Blvd Ste 301, Lawrenceville, GA 30046. The listed phone number is (678) 226-6203.

What is Gwinnett Clinic, Ltd's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Gwinnett Clinic, Ltd hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Gwinnett Clinic, Ltd was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.