11D0258251 CLIA NUMBER - DANIEL A BRIDGES M D

Laboratory Demographics

  • CLIA Code: 11D0258251
  • Facility Name: DANIEL A BRIDGES M D
  • Facility Address: 915 WEST GORDON STREET
    THOMASTON, GA
    ZIP 30286
  • Facility Phone: 706 647-9412
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DANIEL A. BRIDGES MD
  • NPI Number: 1871507996
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 11D0258251
LAB Type Physician Office
Facility Name DANIEL A BRIDGES M D
Street 915 WEST GORDON STREET
City THOMASTON
State GA
ZIP 30286
Phone 706 647-9412
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DANIEL A. BRIDGES MD

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