Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaiser Permanente

Organization Clinical Medical Laboratory · NPI 1205130374

Kaiser Permanente is a Clinical Medical Laboratory in Conyers, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
Specialties on file
2

Practice location Address checks out

1478 Dogwood Dr SE Ste C
Conyers, GA 30013-5088
Phone: (678) 413-4320
Fax: (678) 413-4322
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X
Clinical Medical Laboratory Taxonomy 291U00000X · Licence 11D2016612 (GA)

Record details

NPI number1205130374
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katherine Farmer — Director Of Laboratory Services · (404) 309-9314
NPI enumeratedJanuary 5, 2011
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021
Mailing address3495 Piedmont Rd Ne, Atlanta, GA 30305-1717

Other providers in Conyers