11D0266689 CLIA NUMBER - MEDCARE

Laboratory Demographics

  • CLIA Code: 11D0266689
  • Facility Name: MEDCARE
  • Facility Address: 5612 WHITESVILLE RD
    COLUMBUS, GA
    ZIP 31904
  • Facility Phone: 706 322-2223
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANDREW T. MECCA MD
  • NPI Number: 1508085135
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0266689
LAB Type Physician Office
Facility Name MEDCARE
Street 5612 WHITESVILLE RD
City COLUMBUS
State GA
ZIP 31904
Phone 706 322-2223
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 ANDREW T. MECCA MD

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