11D2304272 CLIA NUMBER - HER HEALTH

Laboratory Demographics

  • CLIA Code: 11D2304272
  • Facility Name: HER HEALTH
  • Facility Address: 740 PRINCE AVE, UNIT 12 A
    ATHENS, GA
    ZIP 30606
  • Facility Phone: 706 623-8098
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LORETTA DUGGAN
  • NPI Number: 1508615295
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2304272
LAB Type Physician Office
Facility Name HER HEALTH
Street 740 PRINCE AVE, UNIT 12 A
City ATHENS
State GA
ZIP 30606
Phone 706 623-8098
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Physician Office
Lab Director LORETTA DUGGAN

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