11D0921540 CLIA NUMBER - HILLCREST FAMILY CARE

Laboratory Demographics

  • CLIA Code: 11D0921540
  • Facility Name: HILLCREST FAMILY CARE
  • Facility Address: 401 PAT HARALSON DRIVE, UNIT 1
    BLAIRSVILLE, GA
    ZIP 30512
  • Facility Phone: 706 745-8790
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALAN M. SANDERS
  • NPI Number: 1831370188
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0921540
LAB Type Physician Office
Facility Name HILLCREST FAMILY CARE
Street 401 PAT HARALSON DRIVE, UNIT 1
City BLAIRSVILLE
State GA
ZIP 30512
Phone 706 745-8790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Physician Office
Lab Director ALAN M. SANDERS

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