11D2127153 CLIA NUMBER - GEORGIA MOUNTAIN PREGNANCY CENTER

Laboratory Demographics

  • CLIA Code: 11D2127153
  • Facility Name: GEORGIA MOUNTAIN PREGNANCY CENTER
  • Facility Address: 136 A HOSPITAL DRIVE
    BLAIRSVILLE, GA
    ZIP 30512
  • Facility Phone: 706 745-0051
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: KATHLEEN L. DAVIS
  • NPI Number: 1851402887
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 11D2127153
LAB Type Community Clinic
Facility Name GEORGIA MOUNTAIN PREGNANCY CENTER
Street 136 A HOSPITAL DRIVE
City BLAIRSVILLE
State GA
ZIP 30512
Phone 706 745-0051
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Community Clinic
Lab Director KATHLEEN L. DAVIS

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