11D2306546 CLIA NUMBER - GEORGIA PRIMARY CARE PARTNERS, LLC

Laboratory Demographics

  • CLIA Code: 11D2306546
  • Facility Name: GEORGIA PRIMARY CARE PARTNERS, LLC
  • Facility Address: 60 EXCHANGE STREET, SUITE B-5
    RICHMOND HILL, GA
    ZIP 31324
  • Facility Phone: 912 599-7075
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT A. MAZUR
  • NPI Number: 1144084856
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2306546
LAB Type Physician Office
Facility Name GEORGIA PRIMARY CARE PARTNERS, LLC
Street 60 EXCHANGE STREET, SUITE B-5
City RICHMOND HILL
State GA
ZIP 31324
Phone 912 599-7075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Physician Office
Lab Director ROBERT A. MAZUR

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