11D0701630 CLIA NUMBER - MACON NORTHSIDE HOSPITAL, LLC DBA PIEDMONT MACON NORTH HOSPITAL

Laboratory Demographics

  • CLIA Code: 11D0701630
  • Facility Name: MACON NORTHSIDE HOSPITAL, LLC DBA PIEDMONT MACON NORTH HOSPITAL
  • Facility Address: 400 CHARTER BLVD
    MACON, GA
    ZIP 31210
  • Facility Phone: 478 757-6050
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. VINITA MATHUR
  • NPI Number: 1811940976
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 11D0701630
LAB Type Hospital
Facility Name MACON NORTHSIDE HOSPITAL, LLC DBA PIEDMONT MACON NORTH HOSPITAL
Street 400 CHARTER BLVD
City MACON
State GA
ZIP 31210
Phone 478 757-6050
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Hospital
Lab Director DR. VINITA MATHUR

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