11D0952593 CLIA NUMBER - LOU ELLEN HUTCHESON MD

Laboratory Demographics

  • CLIA Code: 11D0952593
  • Facility Name: LOU ELLEN HUTCHESON MD
  • Facility Address: 1126 WEST 12TH STREET
    ALMA, GA
    ZIP 31510
  • Facility Phone: 912 632-0884
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LOU E. HUTCHESON
  • NPI Number: 1619440260
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0952593
LAB Type Physician Office
Facility Name LOU ELLEN HUTCHESON MD
Street 1126 WEST 12TH STREET
City ALMA
State GA
ZIP 31510
Phone 912 632-0884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Physician Office
Lab Director LOU E. HUTCHESON

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