11D0262937 CLIA NUMBER - AUGUSTA INTERNAL MEDICINE ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 11D0262937
  • Facility Name: AUGUSTA INTERNAL MEDICINE ASSOCIATES, PC
  • Facility Address: 1450 ANTHONY RD
    AUGUSTA, GA
    ZIP 30904
  • Facility Phone: 706 733-4823
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANNY NEWMAN
  • NPI Number: 1992984439
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0262937
LAB Type Physician Office
Facility Name AUGUSTA INTERNAL MEDICINE ASSOCIATES, PC
Street 1450 ANTHONY RD
City AUGUSTA
State GA
ZIP 30904
Phone 706 733-4823
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 DANNY NEWMAN

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