11D1024550 CLIA NUMBER - C V CLOPTON JR MD PC

Laboratory Demographics

  • CLIA Code: 11D1024550
  • Facility Name: C V CLOPTON JR MD PC
  • Facility Address: 7454 HANNOVER PARKWAY S, SUTIE 120
    STOCKBRIDGE, GA
    ZIP 30281
  • Facility Phone: (770) 507-0112
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES V. CLOPTON JR
  • NPI Number: 1699879965
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1024550
LAB Type Physician Office
Facility Name C V CLOPTON JR MD PC
Street 7454 HANNOVER PARKWAY S, SUTIE 120
City STOCKBRIDGE
State GA
ZIP 30281
Phone 7705070112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Physician Office
Lab Director CHARLES V. CLOPTON JR

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This page was last updated on: 5/18/2026