11D2042717 CLIA NUMBER - SOUTHEASTERN REGIONAL MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 11D2042717
  • Facility Name: SOUTHEASTERN REGIONAL MEDICAL CENTER
  • Facility Address: 600 CELEBRATE LIFE PARKWAY
    NEWNAN, GA
    ZIP 30265
  • Facility Phone: 770 400-6750
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. PAULIE PAPAVASSILIOU-BAJIC
  • NPI Number: 1376150870
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 11D2042717
LAB Type Hospital
Facility Name SOUTHEASTERN REGIONAL MEDICAL CENTER
Street 600 CELEBRATE LIFE PARKWAY
City NEWNAN
State GA
ZIP 30265
Phone 770 400-6750
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 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Hospital
Lab Director DR. PAULIE PAPAVASSILIOU-BAJIC

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