10D0710236 CLIA NUMBER - PHYSICIANS GROUP SERVICES PA DBA MIDDLEBURG FAMILY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 10D0710236
  • Facility Name: PHYSICIANS GROUP SERVICES PA DBA MIDDLEBURG FAMILY MEDICAL CENTER
  • Facility Address: 3839 COUNTY ROAD 218
    MIDDLEBURG, FL
    ZIP 32068
  • Facility Phone: (904) 282-5474
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BENJAMIN GOH
  • NPI Number: 1053981506
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0710236
LAB Type Physician Office
Facility Name PHYSICIANS GROUP SERVICES PA DBA MIDDLEBURG FAMILY MEDICAL CENTER
Street 3839 COUNTY ROAD 218
City MIDDLEBURG
State FL
ZIP 32068
Phone 9042825474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director BENJAMIN GOH

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This page was last updated on: 5/18/2026