11D2294452 CLIA NUMBER - STACEY H WILLIFORD DBA CARDINAL HEALTHCARE

Laboratory Demographics

  • CLIA Code: 11D2294452
  • Facility Name: STACEY H WILLIFORD DBA CARDINAL HEALTHCARE
  • Facility Address: 1000 COWLES CLINIC WAY, SUITE E-100, ELM COTTAGE
    GREENSBORO, GA
    ZIP 30642
  • Facility Phone: (478) 412-2880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STACEY H. WILLIFORD
  • NPI Number: 1447987227
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 11D2294452
LAB Type Physician Office
Facility Name STACEY H WILLIFORD DBA CARDINAL HEALTHCARE
Street 1000 COWLES CLINIC WAY, SUITE E-100, ELM COTTAGE
City GREENSBORO
State GA
ZIP 30642
Phone 4784122880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2025
Certificate Expiration Date 11/26/2027
Facility Type Physician Office
Lab Director STACEY H. WILLIFORD

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This page was last updated on: 5/18/2026