11D0261935 CLIA NUMBER - ATHENS INTERNAL MEDICINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 11D0261935
  • Facility Name: ATHENS INTERNAL MEDICINE ASSOCIATES
  • Facility Address: 1500 OGLETHORPE AVENUE SUITE 400A
    ATHENS, GA
    ZIP 30606
  • Facility Phone: 706 548-8600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRANDON J. TAYLOR
  • NPI Number: 1558394981
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0261935
LAB Type Physician Office
Facility Name ATHENS INTERNAL MEDICINE ASSOCIATES
Street 1500 OGLETHORPE AVENUE SUITE 400A
City ATHENS
State GA
ZIP 30606
Phone 706 548-8600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Physician Office
Lab Director BRANDON J. TAYLOR

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