11D1100377 CLIA NUMBER - NORTHEAST GEORGIA PHYSICIANS GROUP

Laboratory Demographics

  • CLIA Code: 11D1100377
  • Facility Name: NORTHEAST GEORGIA PHYSICIANS GROUP
  • Facility Address: 1315 JESSE JEWELL PARKWAY, SUITE 200 & 201
    GAINESVILLE, GA
    ZIP 30501
  • Facility Phone: 770 219-9300
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: STEPHANIE SPRINGFIELD
  • NPI Number: 1013121359
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 11D1100377
LAB Type Physician Office
Facility Name NORTHEAST GEORGIA PHYSICIANS GROUP
Street 1315 JESSE JEWELL PARKWAY, SUITE 200 & 201
City GAINESVILLE
State GA
ZIP 30501
Phone 770 219-9300
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Physician Office
Lab Director STEPHANIE SPRINGFIELD

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