11D2274031 CLIA NUMBER - CLINTON B ASHFORD, MD

Laboratory Demographics

  • CLIA Code: 11D2274031
  • Facility Name: CLINTON B ASHFORD, MD
  • Facility Address: 1750 S LUMPKIN STREET
    ATHENS, GA
    ZIP 30606
  • Facility Phone: 706 353-2550
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CLINTON B. ASHFORD
  • NPI Number: 1710952262
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2274031
LAB Type Physician Office
Facility Name CLINTON B ASHFORD, MD
Street 1750 S LUMPKIN STREET
City ATHENS
State GA
ZIP 30606
Phone 706 353-2550
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Physician Office
Lab Director CLINTON B. ASHFORD

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