11D0266040 CLIA NUMBER - PHOEBE FAMILY MEDICAL CENTER CAMILLA

Laboratory Demographics

  • CLIA Code: 11D0266040
  • Facility Name: PHOEBE FAMILY MEDICAL CENTER CAMILLA
  • Facility Address: 725 US HIGHWAY 19 SOUTH
    CAMILLA, GA
    ZIP 31730
  • Facility Phone: 229 336-5208
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: BARBARA KUPKA
  • NPI Number: 1821293788
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0266040
LAB Type Physician Office
Facility Name PHOEBE FAMILY MEDICAL CENTER CAMILLA
Street 725 US HIGHWAY 19 SOUTH
City CAMILLA
State GA
ZIP 31730
Phone 229 336-5208
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/31/2023
Certificate Expiration Date 12/30/2025
Facility Type Physician Office
Lab Director BARBARA KUPKA

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