11D2258258 CLIA NUMBER - KIMBERLY CLARK CORPORATION - LAGRANGE MILL

Laboratory Demographics

  • CLIA Code: 11D2258258
  • Facility Name: KIMBERLY CLARK CORPORATION - LAGRANGE MILL
  • Facility Address: 1300 ORCHARD HILL ROAD
    LAGRANGE, GA
    ZIP 30240
  • Facility Phone: 501 336-6209
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: FRED KOHANNA
  • NPI Number: 1871576538
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 11D2258258
LAB Type Industrial
Facility Name KIMBERLY CLARK CORPORATION - LAGRANGE MILL
Street 1300 ORCHARD HILL ROAD
City LAGRANGE
State GA
ZIP 30240
Phone 501 336-6209
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Industrial
Lab Director FRED KOHANNA

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