11D0678504 CLIA NUMBER - WILLIAM E ROUNDTREE MD

Laboratory Demographics

  • CLIA Code: 11D0678504
  • Facility Name: WILLIAM E ROUNDTREE MD
  • Facility Address: 1716 BUENA VISTA ROAD
    COLUMBUS, GA
    ZIP 31906
  • Facility Phone: 706 324-3650
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLIAM E. ROUNDTREE
  • NPI Number: 1932217999
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0678504
LAB Type Physician Office
Facility Name WILLIAM E ROUNDTREE MD
Street 1716 BUENA VISTA ROAD
City COLUMBUS
State GA
ZIP 31906
Phone 706 324-3650
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 WILLIAM E. ROUNDTREE

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