11D1001306 CLIA NUMBER - CHESTATEE EMERGENT MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 11D1001306
  • Facility Name: CHESTATEE EMERGENT MEDICAL CARE
  • Facility Address: 2395 THOMPSON ROAD
    DAWSONVILLE, GA
    ZIP 30534
  • Facility Phone: (706) 265-6866
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: GARY C. BERLINER MD
  • NPI Number: 1073702312
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D1001306
LAB Type Community Clinic
Facility Name CHESTATEE EMERGENT MEDICAL CARE
Street 2395 THOMPSON ROAD
City DAWSONVILLE
State GA
ZIP 30534
Phone 7062656866
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Community Clinic
Lab Director GARY C. BERLINER MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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