11D0879989 CLIA NUMBER - THOMAS W GOGGIN MD PC

Laboratory Demographics

  • CLIA Code: 11D0879989
  • Facility Name: THOMAS W GOGGIN MD PC
  • Facility Address: 700 SUNSET DRIVE SUITE 602
    ATHENS, GA
    ZIP 30606
  • Facility Phone: 706 353-0711
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THOMAS W. GOGGIN
  • NPI Number: 1801959267
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D0879989
LAB Type Physician Office
Facility Name THOMAS W GOGGIN MD PC
Street 700 SUNSET DRIVE SUITE 602
City ATHENS
State GA
ZIP 30606
Phone 706 353-0711
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 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Physician Office
Lab Director THOMAS W. GOGGIN

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