11D2100898 CLIA NUMBER - NORTH GEORGIA OB/GYN SPECIALISTS - ELLIJAY

Laboratory Demographics

  • CLIA Code: 11D2100898
  • Facility Name: NORTH GEORGIA OB/GYN SPECIALISTS - ELLIJAY
  • Facility Address: 433 HIGHLAND PKWY STE 203
    ELLIJAY, GA
    ZIP 30540
  • Facility Phone: 706 698-6400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL HULSE
  • NPI Number: 1336172923
  • Taxonomy: 207P00000X - Emergency Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2100898
LAB Type Physician Office
Facility Name NORTH GEORGIA OB/GYN SPECIALISTS - ELLIJAY
Street 433 HIGHLAND PKWY STE 203
City ELLIJAY
State GA
ZIP 30540
Phone 706 698-6400
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Physician Office
Lab Director MICHAEL HULSE

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: 9/29/2025