11D1089406 CLIA NUMBER - PATHWAYS CENTER

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CLIA Record

Field Name Field Value
CLIA Number 11D1089406
LAB Type Other
Facility Name PATHWAYS CENTER
Street 122 GORDON COMMERCIAL DRIVE, SUITE C
City LAGRANGE
State GA
ZIP 30240
Phone 706 845-4045
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Other
Lab Director JADE BENEFIELD

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