11D1000785 CLIA NUMBER - LANIER MEDCARE PC

Laboratory Demographics

  • CLIA Code: 11D1000785
  • Facility Name: LANIER MEDCARE PC
  • Facility Address: 4995 FRIENDSHIP ROAD SUITE A
    BUFORD, GA
    ZIP 30518
  • Facility Phone: (678) 546-5059
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NA H. SONG
  • NPI Number: 1184813453
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1000785
LAB Type Physician Office
Facility Name LANIER MEDCARE PC
Street 4995 FRIENDSHIP ROAD SUITE A
City BUFORD
State GA
ZIP 30518
Phone 6785465059
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director NA H. SONG

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This page was last updated on: 5/18/2026