11D1019223 CLIA NUMBER - HAMILTON DIABETES CENTER

Laboratory Demographics

  • CLIA Code: 11D1019223
  • Facility Name: HAMILTON DIABETES CENTER
  • Facility Address: 475 REED ROAD SUITE 104
    DALTON, GA
    ZIP 30720
  • Facility Phone: 706 272-6079
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARY KENDRICK
  • NPI Number: 1235455569
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1019223
LAB Type Other
Facility Name HAMILTON DIABETES CENTER
Street 475 REED ROAD SUITE 104
City DALTON
State GA
ZIP 30720
Phone 706 272-6079
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Other
Lab Director MARY KENDRICK

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