11D0703931 CLIA NUMBER - GREATER ATHENS PHYSICIANS

Laboratory Demographics

  • CLIA Code: 11D0703931
  • Facility Name: GREATER ATHENS PHYSICIANS
  • Facility Address: 1550 MARS HILL ROAD
    WATKINSVILLE, GA
    ZIP 30677
  • Facility Phone: 706 769-4852
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RAYMOND L. GILBERT MD
  • NPI Number: 1639128143
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0703931
LAB Type Physician Office
Facility Name GREATER ATHENS PHYSICIANS
Street 1550 MARS HILL ROAD
City WATKINSVILLE
State GA
ZIP 30677
Phone 706 769-4852
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 8/29/2023
Certificate Expiration Date 8/28/2025
Facility Type Physician Office
Lab Director RAYMOND L. GILBERT MD

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This page was last updated on: 6/4/2025