11D1018416 CLIA NUMBER - CLARKE OCONEE FAMILY PRACTICE LLC

Laboratory Demographics

CLIA Number: 11D1018416

Facility Name: CLARKE OCONEE FAMILY PRACTICE LLC

Facility Address:
700 SUNSET DRIVE, SUITE 400 A
ATHENS, GA
ZIP 30606
Get Directions

Facility Phone Number: 706 353-7747

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1801803820

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	11D1018416
LAB Type	Physician Office
Facility Name	CLARKE OCONEE FAMILY PRACTICE LLC
Street	700 SUNSET DRIVE, SUITE 400 A
City	ATHENS
State	GA
ZIP	30606
Phone	706 353-7747
CertificateType	3
CertificateEffectiveDate	10/22/2023
CertificateExpirationDate	10/21/2025
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024