11D2112578 CLIA NUMBER - HALL COUNTY ENDOSCOPY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2112578
  • Facility Name: HALL COUNTY ENDOSCOPY CENTER, LLC
  • Facility Address: 1955 TEXTILE WAY, SUITE A
    GAINESVILLE, GA
    ZIP 30501
  • Facility Phone: 678 987-1499
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: AJA MCCUTCHEN
  • NPI Number: 1104997634
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 11D2112578
LAB Type Mobile Laboratory
Facility Name HALL COUNTY ENDOSCOPY CENTER, LLC
Street 1955 TEXTILE WAY, SUITE A
City GAINESVILLE
State GA
ZIP 30501
Phone 678 987-1499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Mobile Laboratory
Lab Director AJA MCCUTCHEN

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