11D2300035 CLIA NUMBER - ST MARY'S MEDICAL GRP DBA ATHENS GENERAL & COLORECTAL SURGEONS

Laboratory Demographics

  • CLIA Code: 11D2300035
  • Facility Name: ST MARY'S MEDICAL GRP DBA ATHENS GENERAL & COLORECTAL SURGEONS
  • Facility Address: 1500 OGLETHORPE AVENUE, SUITE 2000
    ATHENS, GA
    ZIP 30606
  • Facility Phone: 706 548-5488
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AARON CARR
  • NPI Number: 1669767687
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D2300035
LAB Type Physician Office
Facility Name ST MARY'S MEDICAL GRP DBA ATHENS GENERAL & COLORECTAL SURGEONS
Street 1500 OGLETHORPE AVENUE, SUITE 2000
City ATHENS
State GA
ZIP 30606
Phone 706 548-5488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Physician Office
Lab Director AARON CARR

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This page was last updated on: 3/20/2025