11D2276387 CLIA NUMBER - NORTHEAST GEORGIA PHYSICIANS GROUP OB/GYN BUFORD

Laboratory Demographics

  • CLIA Code: 11D2276387
  • Facility Name: NORTHEAST GEORGIA PHYSICIANS GROUP OB/GYN BUFORD
  • Facility Address: 4445 SOUTH LEE STREET, SUITE 205
    BUFORD, GA
    ZIP 30518
  • Facility Phone: 770 848-7907
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KIMBERLY BARRETT
  • NPI Number: 1215350483
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2276387
LAB Type Physician Office
Facility Name NORTHEAST GEORGIA PHYSICIANS GROUP OB/GYN BUFORD
Street 4445 SOUTH LEE STREET, SUITE 205
City BUFORD
State GA
ZIP 30518
Phone 770 848-7907
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 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Physician Office
Lab Director KIMBERLY BARRETT

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