11D0878100 CLIA NUMBER - NORTHEAST GEORGIA PHYSICIANS GROUP OB/GYN

Laboratory Demographics

  • CLIA Code: 11D0878100
  • Facility Name: NORTHEAST GEORGIA PHYSICIANS GROUP OB/GYN
  • Facility Address: 870 AUSTIN DRIVE, SUITE A
    DEMOREST, GA
    ZIP 30535
  • Facility Phone: (706) 229-4233
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. THOMAS L. HATCHETT

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CLIA Record

Field Name Field Value
CLIA Number 11D0878100
LAB Type Physician Office
Facility Name NORTHEAST GEORGIA PHYSICIANS GROUP OB/GYN
Street 870 AUSTIN DRIVE, SUITE A
City DEMOREST
State GA
ZIP 30535
Phone 7062294233
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 5/16/2026
Certificate Expiration Date 5/15/2028
Facility Type Physician Office
Lab Director DR. THOMAS L. HATCHETT

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