11D1008264 CLIA NUMBER - CARR MEDICAL GROUP PC

Laboratory Demographics

  • CLIA Code: 11D1008264
  • Facility Name: CARR MEDICAL GROUP PC
  • Facility Address: 3470 YOUTH MONROE ROAD
    LOGANVILLE, GA
    ZIP 30052
  • Facility Phone: 678 957-6301
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN S. CARR MD
  • NPI Number: 1649494428
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1008264
LAB Type Physician Office
Facility Name CARR MEDICAL GROUP PC
Street 3470 YOUTH MONROE ROAD
City LOGANVILLE
State GA
ZIP 30052
Phone 678 957-6301
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Physician Office
Lab Director JOHN S. CARR MD

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