11D1028925 CLIA NUMBER - GEORGIA ESOTERIC AND MOLECULAR LABS LLC

Laboratory Demographics

  • CLIA Code: 11D1028925
  • Facility Name: GEORGIA ESOTERIC AND MOLECULAR LABS LLC
  • Facility Address: 1120 15TH STREET BUILDING BF 207
    AUGUSTA, GA
    ZIP 30912
  • Facility Phone: 706 721-5116
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. RAVINDRA J. KOLHE
  • NPI Number: 1487694261
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D1028925
LAB Type Independent
Facility Name GEORGIA ESOTERIC AND MOLECULAR LABS LLC
Street 1120 15TH STREET BUILDING BF 207
City AUGUSTA
State GA
ZIP 30912
Phone 706 721-5116
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Independent
Lab Director DR. RAVINDRA J. KOLHE

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