11D0262103 CLIA NUMBER - PAMELA HALL MD PC

Laboratory Demographics

  • CLIA Code: 11D0262103
  • Facility Name: PAMELA HALL MD PC
  • Facility Address: 2002 SOUTH MAIN STREET
    MADISON, GA
    ZIP 30650
  • Facility Phone: 706 438-1122
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAMELA HALL
  • NPI Number: 1437121639
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0262103
LAB Type Physician Office
Facility Name PAMELA HALL MD PC
Street 2002 SOUTH MAIN STREET
City MADISON
State GA
ZIP 30650
Phone 706 438-1122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Physician Office
Lab Director PAMELA HALL

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