11D0693402 CLIA NUMBER - CORNERSTONE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 11D0693402
  • Facility Name: CORNERSTONE MEDICAL GROUP
  • Facility Address: 914 VISTA DRIVE
    DALTON, GA
    ZIP 30721
  • Facility Phone: 706 226-3139
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KERRY NEISES
  • NPI Number: 1275515967
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0693402
LAB Type Physician Office
Facility Name CORNERSTONE MEDICAL GROUP
Street 914 VISTA DRIVE
City DALTON
State GA
ZIP 30721
Phone 706 226-3139
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Physician Office
Lab Director KERRY NEISES

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