11D0701788 CLIA NUMBER - DUBLIN OB/GYN ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 11D0701788
  • Facility Name: DUBLIN OB/GYN ASSOCIATES PC
  • Facility Address: 2400 BELLEVUE ROAD, SUITE 23
    DUBLIN, GA
    ZIP 31021
  • Facility Phone: 478 272-8580
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEWTON W. CHISM JR
  • NPI Number: 1609916337
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D0701788
LAB Type Physician Office
Facility Name DUBLIN OB/GYN ASSOCIATES PC
Street 2400 BELLEVUE ROAD, SUITE 23
City DUBLIN
State GA
ZIP 31021
Phone 478 272-8580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Physician Office
Lab Director NEWTON W. CHISM JR

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