11D1063890 CLIA NUMBER - UNION GENERAL WOMEN'S HEALTH

Laboratory Demographics

  • CLIA Code: 11D1063890
  • Facility Name: UNION GENERAL WOMEN'S HEALTH
  • Facility Address: 19B DOCTORS WAY
    BLAIRSVILLE, GA
    ZIP 30512
  • Facility Phone: 706 835-2222
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BENJAMIN J. HARRIS
  • NPI Number: 1568841567
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 11D1063890
LAB Type Physician Office
Facility Name UNION GENERAL WOMEN'S HEALTH
Street 19B DOCTORS WAY
City BLAIRSVILLE
State GA
ZIP 30512
Phone 706 835-2222
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 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director BENJAMIN J. HARRIS

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