11D2328750 CLIA NUMBER - FLORENCE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 11D2328750
  • Facility Name: FLORENCE PRIMARY CARE
  • Facility Address: 4155 SOUTH LEE STREET, SUITE B 100
    BUFORD, GA
    ZIP 30518
  • Facility Phone: 470 735-8149
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRIYA BARONIA
  • NPI Number: 1578455200
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2328750
LAB Type Physician Office
Facility Name FLORENCE PRIMARY CARE
Street 4155 SOUTH LEE STREET, SUITE B 100
City BUFORD
State GA
ZIP 30518
Phone 470 735-8149
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Physician Office
Lab Director PRIYA BARONIA

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