11D0264171 CLIA NUMBER - INTERNAL MEDICINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 11D0264171
  • Facility Name: INTERNAL MEDICINE ASSOCIATES
  • Facility Address: 330 HOSPITAL DRIVE BUILDING C SUITE 200
    MACON, GA
    ZIP 31217
  • Facility Phone: 478 745-1191
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CHARLES L. OGBURN JR
  • NPI Number: 1033180625
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0264171
LAB Type Physician Office
Facility Name INTERNAL MEDICINE ASSOCIATES
Street 330 HOSPITAL DRIVE BUILDING C SUITE 200
City MACON
State GA
ZIP 31217
Phone 478 745-1191
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 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Physician Office
Lab Director CHARLES L. OGBURN JR

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