11D2069151 CLIA NUMBER - JORGE AMADOR MD

Laboratory Demographics

  • CLIA Code: 11D2069151
  • Facility Name: JORGE AMADOR MD
  • Facility Address: 1201 LOWER FAYETTEVILLE ROAD SUITE F
    NEWNAN, GA
    ZIP 30265
  • Facility Phone: 770 540-2288
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JORGE A. AMADOR
  • NPI Number: 1588619530
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2069151
LAB Type Physician Office
Facility Name JORGE AMADOR MD
Street 1201 LOWER FAYETTEVILLE ROAD SUITE F
City NEWNAN
State GA
ZIP 30265
Phone 770 540-2288
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 DR. JORGE A. AMADOR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025