11D2168142 CLIA NUMBER - GEORGIA BONE AND JOINT

Laboratory Demographics

  • CLIA Code: 11D2168142
  • Facility Name: GEORGIA BONE AND JOINT
  • Facility Address: 1755 HIGHWAY 34 EAST, SUITE 1300
    NEWNAN, GA
    ZIP 30265
  • Facility Phone: 770 502-2175
  • Facility Type: Other - DIAGNOSTIC IMAGING (MRI)
  • Facility Type: Waiver
  • Lab Director: KACIE D. MCWATERS
  • NPI Number: 1447276811
  • Taxonomy: 207XX0005X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D2168142
LAB Type Other - DIAGNOSTIC IMAGING (MRI)
Facility Name GEORGIA BONE AND JOINT
Street 1755 HIGHWAY 34 EAST, SUITE 1300
City NEWNAN
State GA
ZIP 30265
Phone 770 502-2175
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Other - DIAGNOSTIC IMAGING (MRI)
Lab Director KACIE D. MCWATERS

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