11D0261877 CLIA NUMBER - ATHENS AREA INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 11D0261877
  • Facility Name: ATHENS AREA INTERNAL MEDICINE
  • Facility Address: 1000 HAWTHORNE AVENUE, SUITE H
    ATHENS, GA
    ZIP 30606
  • Facility Phone: 706 546-0832
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TABIA F. SORRELLS
  • NPI Number: 1336365931
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0261877
LAB Type Physician Office
Facility Name ATHENS AREA INTERNAL MEDICINE
Street 1000 HAWTHORNE AVENUE, SUITE H
City ATHENS
State GA
ZIP 30606
Phone 706 546-0832
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Physician Office
Lab Director TABIA F. SORRELLS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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