11D0892502 CLIA NUMBER - LCNGHS INTERNAL & FAMILY MEDICINE IN DEMOREST

Laboratory Demographics

  • CLIA Code: 11D0892502
  • Facility Name: LCNGHS INTERNAL & FAMILY MEDICINE IN DEMOREST
  • Facility Address: 835 AUSTIN DRIVE
    DEMOREST, GA
    ZIP 30535
  • Facility Phone: (706) 754-8518
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. W RHETT WEAVER

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CLIA Record

Field Name Field Value
CLIA Number 11D0892502
LAB Type Physician Office
Facility Name LCNGHS INTERNAL & FAMILY MEDICINE IN DEMOREST
Street 835 AUSTIN DRIVE
City DEMOREST
State GA
ZIP 30535
Phone 7067548518
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Physician Office
Lab Director DR. W RHETT WEAVER

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