11D0908135 CLIA NUMBER - CRAWFORD FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 11D0908135
  • Facility Name: CRAWFORD FAMILY MEDICINE
  • Facility Address: 106 MCCRARY AVE PO BOX 1010
    ROBERTA, GA
    ZIP 31078
  • Facility Phone: 478 836-2819
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: FRED GATON MD
  • NPI Number: 1356505051
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0908135
LAB Type Physician Office
Facility Name CRAWFORD FAMILY MEDICINE
Street 106 MCCRARY AVE PO BOX 1010
City ROBERTA
State GA
ZIP 31078
Phone 478 836-2819
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Physician Office
Lab Director FRED GATON MD

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