11D0260958 CLIA NUMBER - RAY MEDICAL CLINIC PC

Laboratory Demographics

  • CLIA Code: 11D0260958
  • Facility Name: RAY MEDICAL CLINIC PC
  • Facility Address: 401 WEST MAIN STREET
    SWAINSBORO, GA
    ZIP 30401
  • Facility Phone: 912 237-9928
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES L. RAY
  • NPI Number: 1063832202
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0260958
LAB Type Physician Office
Facility Name RAY MEDICAL CLINIC PC
Street 401 WEST MAIN STREET
City SWAINSBORO
State GA
ZIP 30401
Phone 912 237-9928
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 JAMES L. RAY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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