11D2145048 CLIA NUMBER - SOUTHERN ENT SPECIALISTS

Laboratory Demographics

  • CLIA Code: 11D2145048
  • Facility Name: SOUTHERN ENT SPECIALISTS
  • Facility Address: 460 NORTHSIDE CHEROKEE BLVD, SUITE 410
    CANTON, GA
    ZIP 30115
  • Facility Phone: 678 786-7430
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES C. FRENCH
  • NPI Number: 1780183103
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 11D2145048
LAB Type Physician Office
Facility Name SOUTHERN ENT SPECIALISTS
Street 460 NORTHSIDE CHEROKEE BLVD, SUITE 410
City CANTON
State GA
ZIP 30115
Phone 678 786-7430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director JAMES C. FRENCH

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