11D0265529 CLIA NUMBER - JOHN D ANDERSON MD

Laboratory Demographics

  • CLIA Code: 11D0265529
  • Facility Name: JOHN D ANDERSON MD
  • Facility Address: 2704 NORTH OAK ST BLDG O
    VALDOSTA, GA
    ZIP 31602
  • Facility Phone: 912 247-2350
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN D. ANDERSON
  • NPI Number: 1316947484
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0265529
LAB Type Physician Office
Facility Name JOHN D ANDERSON MD
Street 2704 NORTH OAK ST BLDG O
City VALDOSTA
State GA
ZIP 31602
Phone 912 247-2350
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOHN D. ANDERSON

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