11D0700939 CLIA NUMBER - AUGUSTA RENAL PHYSICIANS PC

Laboratory Demographics

CLIA Number: 11D0700939

Facility Name: AUGUSTA RENAL PHYSICIANS PC

Facility Address:
1109 MEDICAL CENTER DRIVE BLDG #5
AUGUSTA, GA
ZIP 30909
Get Directions

Facility Phone Number: 706 863-6637

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1396786760

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	11D0700939
LAB Type	Physician Office
Facility Name	AUGUSTA RENAL PHYSICIANS PC
Street	1109 MEDICAL CENTER DRIVE BLDG #5
City	AUGUSTA
State	GA
ZIP	30909
Phone	706 863-6637
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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