11D0879221 CLIA NUMBER - CENTER FOR PRIMARY CARE-EVANS

Laboratory Demographics

  • CLIA Code: 11D0879221
  • Facility Name: CENTER FOR PRIMARY CARE-EVANS
  • Facility Address: 363 NORTH BELAIR ROAD
    EVANS, GA
    ZIP 30809
  • Facility Phone: 706 650-7563
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. SHIREEN MOORE
  • NPI Number: 1316973472
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0879221
LAB Type Physician Office
Facility Name CENTER FOR PRIMARY CARE-EVANS
Street 363 NORTH BELAIR ROAD
City EVANS
State GA
ZIP 30809
Phone 706 650-7563
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Physician Office
Lab Director DR. SHIREEN MOORE

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