11D0868418 CLIA NUMBER - CHARLES A WALKER MD

Laboratory Demographics

  • CLIA Code: 11D0868418
  • Facility Name: CHARLES A WALKER MD
  • Facility Address: 505 AMELIA AVENUE
    BAINBRIDGE, GA
    ZIP 39819
  • Facility Phone: 912 243-1700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES A. WALKER
  • NPI Number: 1154389369
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D0868418
LAB Type Physician Office
Facility Name CHARLES A WALKER MD
Street 505 AMELIA AVENUE
City BAINBRIDGE
State GA
ZIP 39819
Phone 912 243-1700
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 CHARLES A. WALKER

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