11D0726449 CLIA NUMBER - SWAINSBORO INTERNAL MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 11D0726449
  • Facility Name: SWAINSBORO INTERNAL MEDICAL CLINIC
  • Facility Address: 131 A VICTORY DRIVE
    SWAINSBORO, GA
    ZIP 30401
  • Facility Phone: 478 237-8342
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY L. HOWARD
  • NPI Number: 1366784415
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0726449
LAB Type Physician Office
Facility Name SWAINSBORO INTERNAL MEDICAL CLINIC
Street 131 A VICTORY DRIVE
City SWAINSBORO
State GA
ZIP 30401
Phone 478 237-8342
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ANTHONY L. HOWARD

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