11D0700472 CLIA NUMBER - ARCHBOLD PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 11D0700472
  • Facility Name: ARCHBOLD PRIMARY CARE
  • Facility Address: 2621 E PINETREE BLVD
    THOMASVILLE, GA
    ZIP 31792
  • Facility Phone: (229) 226-5788
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JASON E. GRIFFIN

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CLIA Record

Field Name Field Value
CLIA Number 11D0700472
LAB Type Physician Office
Facility Name ARCHBOLD PRIMARY CARE
Street 2621 E PINETREE BLVD
City THOMASVILLE
State GA
ZIP 31792
Phone 2292265788
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 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Physician Office
Lab Director DR. JASON E. GRIFFIN

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This page was last updated on: 5/18/2026