11D2314872 CLIA NUMBER - PHYSICIAN FIRST PC

Laboratory Demographics

  • CLIA Code: 11D2314872
  • Facility Name: PHYSICIAN FIRST PC
  • Facility Address: 1000 BLUE RIDGE DRIVE
    MCCAYSVILLE, GA
    ZIP 30555
  • Facility Phone: 423 476-3330
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GERARD K. MAZZA
  • NPI Number: 1629108691
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2314872
LAB Type Physician Office
Facility Name PHYSICIAN FIRST PC
Street 1000 BLUE RIDGE DRIVE
City MCCAYSVILLE
State GA
ZIP 30555
Phone 423 476-3330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Physician Office
Lab Director GERARD K. MAZZA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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