11D1077119 CLIA NUMBER - COURTNEY E SINCLAIR MD

Laboratory Demographics

  • CLIA Code: 11D1077119
  • Facility Name: COURTNEY E SINCLAIR MD
  • Facility Address: 310 PAPER TRAIL WAY SUITE 109
    CANTON, GA
    ZIP 30115
  • Facility Phone: (770) 720-4100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SINCLAIR E. COURTNEY MD
  • NPI Number: 1184717035
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D1077119
LAB Type Physician Office
Facility Name COURTNEY E SINCLAIR MD
Street 310 PAPER TRAIL WAY SUITE 109
City CANTON
State GA
ZIP 30115
Phone 7707204100
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 12/3/2025
Certificate Expiration Date 12/2/2027
Facility Type Physician Office
Lab Director SINCLAIR E. COURTNEY MD

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This page was last updated on: 5/18/2026