11D2304738 CLIA NUMBER - MONROE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 11D2304738
  • Facility Name: MONROE PRIMARY CARE
  • Facility Address: 705 BREEDLOVE DRIVE, SUITE 800
    MONROE, GA
    ZIP 30655
  • Facility Phone: 678 635-6185
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOEL R. GARRISON
  • NPI Number: 1710726963
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2304738
LAB Type Physician Office
Facility Name MONROE PRIMARY CARE
Street 705 BREEDLOVE DRIVE, SUITE 800
City MONROE
State GA
ZIP 30655
Phone 678 635-6185
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Physician Office
Lab Director JOEL R. GARRISON

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