11D0705055 CLIA NUMBER - NORTH GEORGIA PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 11D0705055
  • Facility Name: NORTH GEORGIA PRIMARY CARE
  • Facility Address: 14 SAMMY MCGHEE BLVD. STE 204
    JASPER, GA
    ZIP 30143
  • Facility Phone: 706 253-3842
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRYAN D. HOOKER MD
  • NPI Number: 1558562181
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0705055
LAB Type Physician Office
Facility Name NORTH GEORGIA PRIMARY CARE
Street 14 SAMMY MCGHEE BLVD. STE 204
City JASPER
State GA
ZIP 30143
Phone 706 253-3842
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director BRYAN D. HOOKER MD

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