11D0878410 CLIA NUMBER - WOMEN'S SPECIALTY CARE PC

Laboratory Demographics

  • CLIA Code: 11D0878410
  • Facility Name: WOMEN'S SPECIALTY CARE PC
  • Facility Address: 682 HEMLOCK STREET SUITE 300
    MACON, GA
    ZIP 31201
  • Facility Phone: (478) 744-9683
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN T. SLOCUMB
  • NPI Number: 1760405021
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D0878410
LAB Type Physician Office
Facility Name WOMEN'S SPECIALTY CARE PC
Street 682 HEMLOCK STREET SUITE 300
City MACON
State GA
ZIP 31201
Phone 4787449683
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Physician Office
Lab Director JOHN T. SLOCUMB

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