11D2063636 CLIA NUMBER - JING DONG, MD

Laboratory Demographics

  • CLIA Code: 11D2063636
  • Facility Name: JING DONG, MD
  • Facility Address: 651 S MILLEDGE AVENUE
    ATHENS, GA
    ZIP 30605
  • Facility Phone: 706 546-9290
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BETTY J. DREWERY
  • NPI Number: 1356341119
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 11D2063636
LAB Type Physician Office
Facility Name JING DONG, MD
Street 651 S MILLEDGE AVENUE
City ATHENS
State GA
ZIP 30605
Phone 706 546-9290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Physician Office
Lab Director BETTY J. DREWERY

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