11D1078961 CLIA NUMBER - BHAVIN H JANI MD PC

Laboratory Demographics

  • CLIA Code: 11D1078961
  • Facility Name: BHAVIN H JANI MD PC
  • Facility Address: 868 MICHAEL ETCHISON ROAD
    MONROE, GA
    ZIP 30655
  • Facility Phone: 770 207-1316
  • Facility Type: Tissue Bank/Repositories
  • Facility Type: Waiver
  • Lab Director: BHAVIN H. JANI
  • NPI Number: 1346337227
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1078961
LAB Type Tissue Bank/Repositories
Facility Name BHAVIN H JANI MD PC
Street 868 MICHAEL ETCHISON ROAD
City MONROE
State GA
ZIP 30655
Phone 770 207-1316
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Tissue Bank/Repositories
Lab Director BHAVIN H. JANI

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