11D2013172 CLIA NUMBER - BLAIRSVILLE CBOC

Laboratory Demographics

  • CLIA Code: 11D2013172
  • Facility Name: BLAIRSVILLE CBOC
  • Facility Address: 1294 HIGHWAY 515 EAST SUITE 100
    BLAIRSVILLE, GA
    ZIP 30512
  • Facility Phone: 404 321-6111
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: CRAIG CAMPUS
  • NPI Number: 1871954479
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 11D2013172
LAB Type Community Clinic
Facility Name BLAIRSVILLE CBOC
Street 1294 HIGHWAY 515 EAST SUITE 100
City BLAIRSVILLE
State GA
ZIP 30512
Phone 404 321-6111
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/15/2010
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director CRAIG CAMPUS

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