11D0711803 CLIA NUMBER - MEDICAL ASSOCIATES PLUS

Laboratory Demographics

  • CLIA Code: 11D0711803
  • Facility Name: MEDICAL ASSOCIATES PLUS
  • Facility Address: 1111 GARREDD BOULEVARD SUITE A
    AUGUSTA, GA
    ZIP 30909
  • Facility Phone: (706) 863-5776
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAYA THERATTIL
  • NPI Number: 1548757024
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0711803
LAB Type Physician Office
Facility Name MEDICAL ASSOCIATES PLUS
Street 1111 GARREDD BOULEVARD SUITE A
City AUGUSTA
State GA
ZIP 30909
Phone 7068635776
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Physician Office
Lab Director DR. JAYA THERATTIL

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This page was last updated on: 5/18/2026