11D0662539 CLIA NUMBER - GEORGIA DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 11D0662539
  • Facility Name: GEORGIA DERMATOLOGY
  • Facility Address: 212 HOSPITAL DRIVE SUITE C
    WARNER ROBINS, GA
    ZIP 31088
  • Facility Phone: 478 922-9281
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DARRYL HODSON
  • NPI Number: 1861607079
  • Taxonomy: 1223G0001X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0662539
LAB Type Physician Office
Facility Name GEORGIA DERMATOLOGY
Street 212 HOSPITAL DRIVE SUITE C
City WARNER ROBINS
State GA
ZIP 31088
Phone 478 922-9281
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Physician Office
Lab Director DARRYL HODSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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