11D0266420 CLIA NUMBER - TIFTON WOMAN'S CENTER PC

Laboratory Demographics

  • CLIA Code: 11D0266420
  • Facility Name: TIFTON WOMAN'S CENTER PC
  • Facility Address: 1806 LEE AVENUE
    TIFTON, GA
    ZIP 31794
  • Facility Phone: 229 386-1528
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDRA H. BRICKMAN MD
  • NPI Number: 1568538924
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D0266420
LAB Type Physician Office
Facility Name TIFTON WOMAN'S CENTER PC
Street 1806 LEE AVENUE
City TIFTON
State GA
ZIP 31794
Phone 229 386-1528
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director SANDRA H. BRICKMAN MD

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