11D1027100 CLIA NUMBER - ASCEND MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 11D1027100
  • Facility Name: ASCEND MEDICAL GROUP
  • Facility Address: 130 HAWTHORNE PARK
    ATHENS, GA
    ZIP 30606
  • Facility Phone: 888 250-5708
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL SMITH
  • NPI Number: 1487667630
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1027100
LAB Type Physician Office
Facility Name ASCEND MEDICAL GROUP
Street 130 HAWTHORNE PARK
City ATHENS
State GA
ZIP 30606
Phone 888 250-5708
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2024
Certificate Expiration Date 6/22/2026
Facility Type Physician Office
Lab Director MICHAEL SMITH

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