11D0264077 CLIA NUMBER - CENTRAL GEORGIA PULMONARY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 11D0264077
  • Facility Name: CENTRAL GEORGIA PULMONARY ASSOCIATES
  • Facility Address: 840 PINE STREET, SUITE 780
    MACON, GA
    ZIP 31201
  • Facility Phone: 478 744-2445
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MARK V. HENDRICKS
  • NPI Number: 1669521902
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0264077
LAB Type Physician Office
Facility Name CENTRAL GEORGIA PULMONARY ASSOCIATES
Street 840 PINE STREET, SUITE 780
City MACON
State GA
ZIP 31201
Phone 478 744-2445
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Physician Office
Lab Director MARK V. HENDRICKS

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