11D1019245 CLIA NUMBER - CATHY T LARRIMORE MD OBSTETRICS AND GYNECOLOGY

Laboratory Demographics

  • CLIA Code: 11D1019245
  • Facility Name: CATHY T LARRIMORE MD OBSTETRICS AND GYNECOLOGY
  • Facility Address: 4181 HOSPTAL DRIVE, SUITE 104
    COVINGTON, GA
    ZIP 30014
  • Facility Phone: 770 385-8954
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CATHY T. LARRIMORE
  • NPI Number: 1750340352
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D1019245
LAB Type Physician Office
Facility Name CATHY T LARRIMORE MD OBSTETRICS AND GYNECOLOGY
Street 4181 HOSPTAL DRIVE, SUITE 104
City COVINGTON
State GA
ZIP 30014
Phone 770 385-8954
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 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Physician Office
Lab Director CATHY T. LARRIMORE

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