11D0262360 CLIA NUMBER - DALTON FAMILY PRACTICE PC

Laboratory Demographics

  • CLIA Code: 11D0262360
  • Facility Name: DALTON FAMILY PRACTICE PC
  • Facility Address: 1114 PROFESSIONAL BLVD
    DALTON, GA
    ZIP 30720
  • Facility Phone: 706 278-0138
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: BRANDON SMITH
  • NPI Number: 1639167026
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0262360
LAB Type Physician Office
Facility Name DALTON FAMILY PRACTICE PC
Street 1114 PROFESSIONAL BLVD
City DALTON
State GA
ZIP 30720
Phone 706 278-0138
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director BRANDON SMITH

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