11D0946237 CLIA NUMBER - ATHENS FAMILY MEDICINE, LLC

Laboratory Demographics

  • CLIA Code: 11D0946237
  • Facility Name: ATHENS FAMILY MEDICINE, LLC
  • Facility Address: 892 PRINCE AVE
    ATHENS, GA
    ZIP 30606
  • Facility Phone: 561 353-1225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MADHUSUDAN CHANDORA
  • NPI Number: 1386676211
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0946237
LAB Type Physician Office
Facility Name ATHENS FAMILY MEDICINE, LLC
Street 892 PRINCE AVE
City ATHENS
State GA
ZIP 30606
Phone 561 353-1225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Physician Office
Lab Director MADHUSUDAN CHANDORA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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