11D1056960 CLIA NUMBER - SUSAN HARDING MD

Laboratory Demographics

  • CLIA Code: 11D1056960
  • Facility Name: SUSAN HARDING MD
  • Facility Address: 905 NORTH COURT STREET
    QUITMAN, GA
    ZIP 31643
  • Facility Phone: 229 263-8956
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SUSAN M. HARDING
  • NPI Number: 1952396798
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1056960
LAB Type Physician Office
Facility Name SUSAN HARDING MD
Street 905 NORTH COURT STREET
City QUITMAN
State GA
ZIP 31643
Phone 229 263-8956
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 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Physician Office
Lab Director SUSAN M. HARDING

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