11D0936432 CLIA NUMBER - LISA P ALLARDICE MD

Laboratory Demographics

  • CLIA Code: 11D0936432
  • Facility Name: LISA P ALLARDICE MD
  • Facility Address: 205 CALUMET CENTER ROAD
    LAGRANGE, GA
    ZIP 30241
  • Facility Phone: 706 845-4972
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA P. ALLARDICE
  • NPI Number: 1609800705
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0936432
LAB Type Physician Office
Facility Name LISA P ALLARDICE MD
Street 205 CALUMET CENTER ROAD
City LAGRANGE
State GA
ZIP 30241
Phone 706 845-4972
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Physician Office
Lab Director LISA P. ALLARDICE

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