11D2214605 CLIA NUMBER - ARCHBOLD ANTICOAGULATION CLINIC

Laboratory Demographics

  • CLIA Code: 11D2214605
  • Facility Name: ARCHBOLD ANTICOAGULATION CLINIC
  • Facility Address: 114 MIMOSA DRIVE SUITE D
    THOMASVILLE, GA
    ZIP 31792
  • Facility Phone: (229) 228-8223
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: KRISTOPHER PALMER

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CLIA Record

Field Name Field Value
CLIA Number 11D2214605
LAB Type Community Clinic
Facility Name ARCHBOLD ANTICOAGULATION CLINIC
Street 114 MIMOSA DRIVE SUITE D
City THOMASVILLE
State GA
ZIP 31792
Phone 2292288223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Community Clinic
Lab Director KRISTOPHER PALMER

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This page was last updated on: 5/15/2026