11D0724969 CLIA NUMBER - MCINTOSH CLINIC PC

Laboratory Demographics

  • CLIA Code: 11D0724969
  • Facility Name: MCINTOSH CLINIC PC
  • Facility Address: 119 WEST HILL ST
    THOMASVILLE, GA
    ZIP 31792
  • Facility Phone: 229 225-1900
  • Facility Type: Other
  • Facility Type: Certificate of Compliance
  • Lab Director: WESLEY SIMMS
  • NPI Number: 1831117746
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0724969
LAB Type Other
Facility Name MCINTOSH CLINIC PC
Street 119 WEST HILL ST
City THOMASVILLE
State GA
ZIP 31792
Phone 229 225-1900
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Other
Lab Director WESLEY SIMMS

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