01D0868687 CLIA NUMBER - THOMASVILLE REGIONAL MEDICAL ASSOCIATES-PRIMARY CA

Laboratory Demographics

  • CLIA Code: 01D0868687
  • Facility Name: THOMASVILLE REGIONAL MEDICAL ASSOCIATES-PRIMARY CA
  • Facility Address: 300 MEDPARK DRIVE MOB
    THOMASVILLE, AL
    ZIP 36784
  • Facility Phone: 334 636-1840
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TB DARJI
  • NPI Number: 1659481588
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0868687
LAB Type Physician Office
Facility Name THOMASVILLE REGIONAL MEDICAL ASSOCIATES-PRIMARY CA
Street 300 MEDPARK DRIVE MOB
City THOMASVILLE
State AL
ZIP 36784
Phone 334 636-1840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Physician Office
Lab Director TB DARJI

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