11D1075294 CLIA NUMBER - GAINESVILLE GYNECOLOGY LLC

Laboratory Demographics

  • CLIA Code: 11D1075294
  • Facility Name: GAINESVILLE GYNECOLOGY LLC
  • Facility Address: 303 JESSIE JEWELL PARKWAY, SE, SUITE 320
    GAINESVILLE, GA
    ZIP 30501
  • Facility Phone: 770 534-1230
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WENDELL A. TURNER
  • NPI Number: 1699961649
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1075294
LAB Type Physician Office
Facility Name GAINESVILLE GYNECOLOGY LLC
Street 303 JESSIE JEWELL PARKWAY, SE, SUITE 320
City GAINESVILLE
State GA
ZIP 30501
Phone 770 534-1230
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 10/17/2023
Certificate Expiration Date 10/16/2025
Facility Type Physician Office
Lab Director WENDELL A. TURNER

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