11D0690311 CLIA NUMBER - CORNERSTONE MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 11D0690311
  • Facility Name: CORNERSTONE MEDICAL ASSOCIATES
  • Facility Address: 200 SOUTH HOUSTON LAKE ROAD, SUITE B
    WARNER ROBINS, GA
    ZIP 31088
  • Facility Phone: 912 922-8521
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TITUS TAUBE
  • NPI Number: 1114410974
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0690311
LAB Type Physician Office
Facility Name CORNERSTONE MEDICAL ASSOCIATES
Street 200 SOUTH HOUSTON LAKE ROAD, SUITE B
City WARNER ROBINS
State GA
ZIP 31088
Phone 912 922-8521
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 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director TITUS TAUBE

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