11D1045156 CLIA NUMBER - NORTHSIDE DAWSON PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 11D1045156
  • Facility Name: NORTHSIDE DAWSON PRIMARY CARE
  • Facility Address: 81 NORTHSIDE DAWSON DRIVE SUITE 205
    DAWSONVILLE, GA
    ZIP 30534
  • Facility Phone: 706 265-1335
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GREGORY MORGAN
  • NPI Number: 1477612414
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1045156
LAB Type Physician Office
Facility Name NORTHSIDE DAWSON PRIMARY CARE
Street 81 NORTHSIDE DAWSON DRIVE SUITE 205
City DAWSONVILLE
State GA
ZIP 30534
Phone 706 265-1335
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director GREGORY MORGAN

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