11D2276073 CLIA NUMBER - HERDOC

Laboratory Demographics

  • CLIA Code: 11D2276073
  • Facility Name: HERDOC
  • Facility Address: 121 HARMONY CROSSING, SUITE 1
    EATONTON, GA
    ZIP 31024
  • Facility Phone: 762 220-1222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHANNA HOLCOMB
  • NPI Number: 1033827332
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2276073
LAB Type Physician Office
Facility Name HERDOC
Street 121 HARMONY CROSSING, SUITE 1
City EATONTON
State GA
ZIP 31024
Phone 762 220-1222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Physician Office
Lab Director SHANNA HOLCOMB

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