11D0257020 CLIA NUMBER - COMMUNITY MEDICAL CENTER BARNESVILLE

Laboratory Demographics

CLIA Number: 11D0257020

Facility Name: COMMUNITY MEDICAL CENTER BARNESVILLE

Facility Address:
101 COMMERCE PLACE SUITE 1
BARNESVILLE, GA
ZIP 30204
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Facility Phone Number: 770 358-4408

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1053662296

Taxonomy: 207QG0300X - Family Medicine
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

CLIA Record

Field Name	Field Value
CLIA Number	11D0257020
LAB Type	Community Clinic
Facility Name	COMMUNITY MEDICAL CENTER BARNESVILLE
Street	101 COMMERCE PLACE SUITE 1
City	BARNESVILLE
State	GA
ZIP	30204
Phone	770 358-4408
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024