11D0859819 CLIA NUMBER - ALAN G STRUTH MD

Laboratory Demographics

  • CLIA Code: 11D0859819
  • Facility Name: ALAN G STRUTH MD
  • Facility Address: 1037 NORTH HOUSTON RD
    WARNER ROBINS, GA
    ZIP 31093
  • Facility Phone: 912 929-0233
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: ALAN G. STRUTH
  • NPI Number: 1619990033
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0859819
LAB Type Community Clinic
Facility Name ALAN G STRUTH MD
Street 1037 NORTH HOUSTON RD
City WARNER ROBINS
State GA
ZIP 31093
Phone 912 929-0233
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Community Clinic
Lab Director ALAN G. STRUTH

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