11D2000150 CLIA NUMBER - UPSON FAMILY PHYSICIANS, LLC

Laboratory Demographics

  • CLIA Code: 11D2000150
  • Facility Name: UPSON FAMILY PHYSICIANS, LLC
  • Facility Address: 915 W GORDON ST, STE B
    THOMASTON, GA
    ZIP 30286
  • Facility Phone: 706 647-7009
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PATRICIA F. HALL
  • NPI Number: 1083842918
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2000150
LAB Type Physician Office
Facility Name UPSON FAMILY PHYSICIANS, LLC
Street 915 W GORDON ST, STE B
City THOMASTON
State GA
ZIP 30286
Phone 706 647-7009
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 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Physician Office
Lab Director PATRICIA F. HALL

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