11D0681592 CLIA NUMBER - ROYSTON MEDICAL ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 11D0681592
  • Facility Name: ROYSTON MEDICAL ASSOCIATES PC
  • Facility Address: 819 CHURCH STREET
    ROYSTON, GA
    ZIP 30662
  • Facility Phone: 706 245-6177
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID M. HARRIS
  • NPI Number: 1245377662
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0681592
LAB Type Physician Office
Facility Name ROYSTON MEDICAL ASSOCIATES PC
Street 819 CHURCH STREET
City ROYSTON
State GA
ZIP 30662
Phone 706 245-6177
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 DAVID M. HARRIS

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