11D0261014 CLIA NUMBER - BEN B NEELY MD

Laboratory Demographics

  • CLIA Code: 11D0261014
  • Facility Name: BEN B NEELY MD
  • Facility Address: 112 NORTH WASHINGTON STREET
    LYONS, GA
    ZIP 30436
  • Facility Phone: 912 526-6479
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BEN B. NEELY
  • NPI Number: 1578550760
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0261014
LAB Type Physician Office
Facility Name BEN B NEELY MD
Street 112 NORTH WASHINGTON STREET
City LYONS
State GA
ZIP 30436
Phone 912 526-6479
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 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Physician Office
Lab Director BEN B. NEELY

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