11D1046705 CLIA NUMBER - PAULDING PREGNANCY SERVICES

Laboratory Demographics

  • CLIA Code: 11D1046705
  • Facility Name: PAULDING PREGNANCY SERVICES
  • Facility Address: 1899 LAKE ROAD, SUITE 120
    HIRAM, GA
    ZIP 30141
  • Facility Phone: 770 222-6911
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KELLI MASSEY
  • NPI Number: 1457329435
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 11D1046705
LAB Type Other
Facility Name PAULDING PREGNANCY SERVICES
Street 1899 LAKE ROAD, SUITE 120
City HIRAM
State GA
ZIP 30141
Phone 770 222-6911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Other
Lab Director KELLI MASSEY

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