11D0695994 CLIA NUMBER - WRIGHTSBORO MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 11D0695994
  • Facility Name: WRIGHTSBORO MEDICAL CENTER
  • Facility Address: 3207 WRIGHTSBORO ROAD
    AUGUSTA, GA
    ZIP 30909
  • Facility Phone: 706 737-0183
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CONNIE SMITH
  • NPI Number: 1306029434
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0695994
LAB Type Physician Office
Facility Name WRIGHTSBORO MEDICAL CENTER
Street 3207 WRIGHTSBORO ROAD
City AUGUSTA
State GA
ZIP 30909
Phone 706 737-0183
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 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Physician Office
Lab Director CONNIE SMITH

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