11D0691949 CLIA NUMBER - ROBERT J MADDEN MD PC

Laboratory Demographics

  • CLIA Code: 11D0691949
  • Facility Name: ROBERT J MADDEN MD PC
  • Facility Address: 14 JOHN MADDOX DRIVE
    ROME, GA
    ZIP 30165
  • Facility Phone: 706 295-7320
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT J. MADDEN
  • NPI Number: 1023224151
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0691949
LAB Type Physician Office
Facility Name ROBERT J MADDEN MD PC
Street 14 JOHN MADDOX DRIVE
City ROME
State GA
ZIP 30165
Phone 706 295-7320
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 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director ROBERT J. MADDEN

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