11D0699024 CLIA NUMBER - MEDICAL CENTER, LLP, THE

Laboratory Demographics

CLIA Number: 11D0699024

Facility Name: MEDICAL CENTER, LLP, THE

Facility Address:
908 HILLCREST PKWY
DUBLIN, GA
ZIP 31021
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Facility Phone Number: 478 272-7411

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1790804268

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D0699024
LAB Type	Physician Office
Facility Name	MEDICAL CENTER, LLP, THE
Street	908 HILLCREST PKWY
City	DUBLIN
State	GA
ZIP	31021
Phone	478 272-7411
CertificateType	2
CertificateEffectiveDate	3/13/2023
CertificateExpirationDate	3/12/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024