11D1035791 CLIA NUMBER - PETER PING LEE MD PC

Laboratory Demographics

  • CLIA Code: 11D1035791
  • Facility Name: PETER PING LEE MD PC
  • Facility Address: 300 MEDICAL DRIVE, SUITE 701
    LAGRANGE, GA
    ZIP 30240
  • Facility Phone: 706 882-0552
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER R. LEE
  • NPI Number: 1316128457
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 11D1035791
LAB Type Physician Office
Facility Name PETER PING LEE MD PC
Street 300 MEDICAL DRIVE, SUITE 701
City LAGRANGE
State GA
ZIP 30240
Phone 706 882-0552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Physician Office
Lab Director PETER R. LEE

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