11D0955700 CLIA NUMBER - DANA J HOGAN MD PC

Laboratory Demographics

  • CLIA Code: 11D0955700
  • Facility Name: DANA J HOGAN MD PC
  • Facility Address: 1800 HOG MOUNTAIN ROAD, 200 - 101
    WATKINSVILLE, GA
    ZIP 30677
  • Facility Phone: 706 769-9410
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANA J. HOGAN
  • NPI Number: 1578555876
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0955700
LAB Type Physician Office
Facility Name DANA J HOGAN MD PC
Street 1800 HOG MOUNTAIN ROAD, 200 - 101
City WATKINSVILLE
State GA
ZIP 30677
Phone 706 769-9410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Physician Office
Lab Director DANA J. HOGAN

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