11D2105554 CLIA NUMBER - SUMMIT CLINICAL RESEARCH, LLC

Laboratory Demographics

  • CLIA Code: 11D2105554
  • Facility Name: SUMMIT CLINICAL RESEARCH, LLC
  • Facility Address: 3320 OLD JEFFERSON RD BUILDING 400
    ATHENS, GA
    ZIP 30607
  • Facility Phone: 706 461-5454
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: BARBARA L. WILSON
  • NPI Number: 1942098728
  • Taxonomy: 261QR1100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2105554
LAB Type Ancillary Testing Site in Health Care Center
Facility Name SUMMIT CLINICAL RESEARCH, LLC
Street 3320 OLD JEFFERSON RD BUILDING 400
City ATHENS
State GA
ZIP 30607
Phone 706 461-5454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Ancillary Testing Site in Health Care Center
Lab Director BARBARA L. WILSON

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