11D0993608 CLIA NUMBER - SREEROOP SEN MD, LLC

Laboratory Demographics

  • CLIA Code: 11D0993608
  • Facility Name: SREEROOP SEN MD, LLC
  • Facility Address: 77 WEST GIBSON STREET
    HARTWELL, GA
    ZIP 30643
  • Facility Phone: 706 856-6973
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SREEROOP SEN
  • NPI Number: 1477537819
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0993608
LAB Type Physician Office
Facility Name SREEROOP SEN MD, LLC
Street 77 WEST GIBSON STREET
City HARTWELL
State GA
ZIP 30643
Phone 706 856-6973
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Physician Office
Lab Director SREEROOP SEN

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