11D0680965 CLIA NUMBER - ANMED PRIMARY CARE- HARTWELL

Laboratory Demographics

  • CLIA Code: 11D0680965
  • Facility Name: ANMED PRIMARY CARE- HARTWELL
  • Facility Address: 28 CHANDLER CENTER
    HARTWELL, GA
    ZIP 30643
  • Facility Phone: 706 376-9852
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JENEAN N. WHITE MD
  • NPI Number: 1588611909
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0680965
LAB Type Physician Office
Facility Name ANMED PRIMARY CARE- HARTWELL
Street 28 CHANDLER CENTER
City HARTWELL
State GA
ZIP 30643
Phone 706 376-9852
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JENEAN N. WHITE MD

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