11D2293414 CLIA NUMBER - GEORGIA CARDIOLOGY ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 11D2293414
  • Facility Name: GEORGIA CARDIOLOGY ASSOCIATES, PC
  • Facility Address: 206 HOSPITAL DRIVE, SUITE A
    DUBLIN, GA
    ZIP 31021
  • Facility Phone: (478) 272-3525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL B. HAITHCOCK
  • NPI Number: 1124077946
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D2293414
LAB Type Physician Office
Facility Name GEORGIA CARDIOLOGY ASSOCIATES, PC
Street 206 HOSPITAL DRIVE, SUITE A
City DUBLIN
State GA
ZIP 31021
Phone 4782723525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2025
Certificate Expiration Date 11/7/2027
Facility Type Physician Office
Lab Director DANIEL B. HAITHCOCK

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This page was last updated on: 6/29/2026