11D0720419 CLIA NUMBER - JEFFREY N HOLLEY MD PC

Laboratory Demographics

  • CLIA Code: 11D0720419
  • Facility Name: JEFFREY N HOLLEY MD PC
  • Facility Address: 214 CHERRY STREET
    DONALSONVILLE, GA
    ZIP 39845
  • Facility Phone: 912 524-2232
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY N. HOLLEY
  • NPI Number: 1912906918
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0720419
LAB Type Physician Office
Facility Name JEFFREY N HOLLEY MD PC
Street 214 CHERRY STREET
City DONALSONVILLE
State GA
ZIP 39845
Phone 912 524-2232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Physician Office
Lab Director JEFFREY N. HOLLEY

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