11D0261768 CLIA NUMBER - ATHENS PULMONARY AND ALLERGY PC

Laboratory Demographics

  • CLIA Code: 11D0261768
  • Facility Name: ATHENS PULMONARY AND ALLERGY PC
  • Facility Address: 3320 OLD JEFFERSON RD, BLDG 200, SUITE A
    ATHENS, GA
    ZIP 30607
  • Facility Phone: 706 549-5560
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANE PARKS
  • NPI Number: 1649337510
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0261768
LAB Type Physician Office
Facility Name ATHENS PULMONARY AND ALLERGY PC
Street 3320 OLD JEFFERSON RD, BLDG 200, SUITE A
City ATHENS
State GA
ZIP 30607
Phone 706 549-5560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JANE PARKS

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