11D2000699 CLIA NUMBER - PERRY FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 11D2000699
  • Facility Name: PERRY FAMILY PRACTICE
  • Facility Address: 1016 KEITH DRIVE
    PERRY, GA
    ZIP 31069
  • Facility Phone: 478 988-1515
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JODY S. VELIE
  • NPI Number: 1811124423
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2000699
LAB Type Physician Office
Facility Name PERRY FAMILY PRACTICE
Street 1016 KEITH DRIVE
City PERRY
State GA
ZIP 31069
Phone 478 988-1515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Physician Office
Lab Director DR. JODY S. VELIE

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