11D2174010 CLIA NUMBER - ANDRE D FERIA, MD, PC

Laboratory Demographics

  • CLIA Code: 11D2174010
  • Facility Name: ANDRE D FERIA, MD, PC
  • Facility Address: 142 OLD MILL ROAD
    LAGRANGE, GA
    ZIP 30241
  • Facility Phone: 706 885-1900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDRE D. FERIA
  • NPI Number: 1205828134
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2174010
LAB Type Physician Office
Facility Name ANDRE D FERIA, MD, PC
Street 142 OLD MILL ROAD
City LAGRANGE
State GA
ZIP 30241
Phone 706 885-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Physician Office
Lab Director ANDRE D. FERIA

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