11D1023611 CLIA NUMBER - ADAMS PRIMARY CARE PC

Laboratory Demographics

  • CLIA Code: 11D1023611
  • Facility Name: ADAMS PRIMARY CARE PC
  • Facility Address: 25 NOMORA DRIVE
    DANIELSVILLE, GA
    ZIP 30633
  • Facility Phone: 706 795-9588
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN S. ADAMS
  • NPI Number: 1174630552
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1023611
LAB Type Physician Office
Facility Name ADAMS PRIMARY CARE PC
Street 25 NOMORA DRIVE
City DANIELSVILLE
State GA
ZIP 30633
Phone 706 795-9588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Physician Office
Lab Director KEVIN S. ADAMS

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