11D0697783 CLIA NUMBER - NORTHEAST HEALTH DISTRICT

Laboratory Demographics

CLIA Number: 11D0697783

Facility Name: NORTHEAST HEALTH DISTRICT

Facility Address:
220 RESEARCH DRIVE
ATHENS, GA
ZIP 30605
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Facility Phone Number: 706 552-2952

Facility Type: Public Health Laboratories

Certificate Type: Certificate of Compliance

NPI Number: 1902438617

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	11D0697783
LAB Type	Public Health Laboratories
Facility Name	NORTHEAST HEALTH DISTRICT
Street	220 RESEARCH DRIVE
City	ATHENS
State	GA
ZIP	30605
Phone	706 552-2952
CertificateType	2
CertificateEffectiveDate	9/15/2022
CertificateExpirationDate	9/14/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024