11D0991980 CLIA NUMBER - PRIMA CARE

Laboratory Demographics

  • CLIA Code: 11D0991980
  • Facility Name: PRIMA CARE
  • Facility Address: 102 NORTH OAKS DRIVE
    DALTON, GA
    ZIP 30721
  • Facility Phone: 706 270-9989
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES R. ZUPPA MD
  • NPI Number: 1598794166
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0991980
LAB Type Physician Office
Facility Name PRIMA CARE
Street 102 NORTH OAKS DRIVE
City DALTON
State GA
ZIP 30721
Phone 706 270-9989
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Physician Office
Lab Director JAMES R. ZUPPA MD

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