11D2069124 CLIA NUMBER - KILEE R SMITH DO PC D/B/A SERENDIPITY CLINIC

Laboratory Demographics

  • CLIA Code: 11D2069124
  • Facility Name: KILEE R SMITH DO PC D/B/A SERENDIPITY CLINIC
  • Facility Address: 620 BELL CREEK ROAD, SUITE B
    HIAWASSEE, GA
    ZIP 30546
  • Facility Phone: 706 970-1154
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KILEE R. SMITH
  • NPI Number: 1043400013
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2069124
LAB Type Physician Office
Facility Name KILEE R SMITH DO PC D/B/A SERENDIPITY CLINIC
Street 620 BELL CREEK ROAD, SUITE B
City HIAWASSEE
State GA
ZIP 30546
Phone 706 970-1154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Physician Office
Lab Director KILEE R. SMITH

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