11D0702005 CLIA NUMBER - JAMES R FREEMAN MD

Laboratory Demographics

  • CLIA Code: 11D0702005
  • Facility Name: JAMES R FREEMAN MD
  • Facility Address: 500 MEDICAL CENTER BLVD STE 300
    LAWRENCEVILLE, GA
    ZIP 30046
  • Facility Phone: 770 963-1340
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES R. FREEMAN MD
  • NPI Number: 1386692812
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0702005
LAB Type Physician Office
Facility Name JAMES R FREEMAN MD
Street 500 MEDICAL CENTER BLVD STE 300
City LAWRENCEVILLE
State GA
ZIP 30046
Phone 770 963-1340
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 JAMES R. FREEMAN MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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