11D0994180 CLIA NUMBER - HERBERT E KOSMAHL DPM PC

Laboratory Demographics

  • CLIA Code: 11D0994180
  • Facility Name: HERBERT E KOSMAHL DPM PC
  • Facility Address: 795 RED BUD ROAD
    CALHOUN, GA
    ZIP 30701
  • Facility Phone: 706 629-1852
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HERBERT E. KOSMAHL
  • NPI Number: 1346304961
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 11D0994180
LAB Type Physician Office
Facility Name HERBERT E KOSMAHL DPM PC
Street 795 RED BUD ROAD
City CALHOUN
State GA
ZIP 30701
Phone 706 629-1852
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Physician Office
Lab Director HERBERT E. KOSMAHL

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