11D0264233 CLIA NUMBER - PIEDMONT PHYSICIANS UROLOGY MACON

Laboratory Demographics

  • CLIA Code: 11D0264233
  • Facility Name: PIEDMONT PHYSICIANS UROLOGY MACON
  • Facility Address: 330 HOSPTIAL DRIVE, BLDG C, CUITE 315
    MACON, GA
    ZIP 31217
  • Facility Phone: 478 742-5331
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH J. BEAR
  • NPI Number: 1598719643
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 11D0264233
LAB Type Physician Office
Facility Name PIEDMONT PHYSICIANS UROLOGY MACON
Street 330 HOSPTIAL DRIVE, BLDG C, CUITE 315
City MACON
State GA
ZIP 31217
Phone 478 742-5331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Physician Office
Lab Director JOSEPH J. BEAR

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