11D1003263 CLIA NUMBER - OCONEE FAMILY PRACTICE, PC

Laboratory Demographics

  • CLIA Code: 11D1003263
  • Facility Name: OCONEE FAMILY PRACTICE, PC
  • Facility Address: 1747 LANGFORD DRIVE, BLDG 400-105
    WATKINSVILLE, GA
    ZIP 30677
  • Facility Phone: 706 769-1100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK A. EARHART
  • NPI Number: 1134323033
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1003263
LAB Type Physician Office
Facility Name OCONEE FAMILY PRACTICE, PC
Street 1747 LANGFORD DRIVE, BLDG 400-105
City WATKINSVILLE
State GA
ZIP 30677
Phone 706 769-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Physician Office
Lab Director MARK A. EARHART

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