11D0263146 CLIA NUMBER - MEDICAL ASSOCIATES PLUS

Laboratory Demographics

CLIA Number: 11D0263146

Facility Name: MEDICAL ASSOCIATES PLUS

Facility Address:
2300 WRIGHTSBORO ROAD
AUGUSTA, GA
ZIP 30904
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Facility Phone Number: 706 447-9822

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1427592534

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	11D0263146
LAB Type	Physician Office
Facility Name	MEDICAL ASSOCIATES PLUS
Street	2300 WRIGHTSBORO ROAD
City	AUGUSTA
State	GA
ZIP	30904
Phone	706 447-9822
CertificateType	3
CertificateEffectiveDate	12/17/2023
CertificateExpirationDate	12/16/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024