11D0262483 CLIA NUMBER - PRIMARY MEDICAL CONSULTANTS LLC

Laboratory Demographics

  • CLIA Code: 11D0262483
  • Facility Name: PRIMARY MEDICAL CONSULTANTS LLC
  • Facility Address: 8566 C HIGHWAY 27 NORTH
    ROCK SPRING, GA
    ZIP 30739
  • Facility Phone: 706 375-3520
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL E. WILSON
  • NPI Number: 1811167455
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0262483
LAB Type Physician Office
Facility Name PRIMARY MEDICAL CONSULTANTS LLC
Street 8566 C HIGHWAY 27 NORTH
City ROCK SPRING
State GA
ZIP 30739
Phone 706 375-3520
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 MICHAEL E. WILSON

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