11D0263046 CLIA NUMBER - MARTINEZ URGENT CARE

Laboratory Demographics

  • CLIA Code: 11D0263046
  • Facility Name: MARTINEZ URGENT CARE
  • Facility Address: 210 OAK STREET, NORTH
    MARTINEZ, GA
    ZIP 30907
  • Facility Phone: 706 855-1755
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROGER D. BROWN
  • NPI Number: 1851830806
  • Taxonomy: 302F00000X - Exclusive Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 11D0263046
LAB Type Physician Office
Facility Name MARTINEZ URGENT CARE
Street 210 OAK STREET, NORTH
City MARTINEZ
State GA
ZIP 30907
Phone 706 855-1755
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 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Physician Office
Lab Director ROGER D. BROWN

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