11D0895468 CLIA NUMBER - NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA,LLC DBA GEOARGIA KIDNEY & HYPERTENSION CLINIC

Laboratory Demographics

  • CLIA Code: 11D0895468
  • Facility Name: NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA,LLC DBA GEOARGIA KIDNEY & HYPERTENSION CLINIC
  • Facility Address: 334 SMITH AVENUE
    THOMASVILLE, GA
    ZIP 31792
  • Facility Phone: 229 227-1595
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. W MERRILL HICKS JR
  • NPI Number: 1649217050
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0895468
LAB Type Physician Office
Facility Name NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA,LLC DBA GEOARGIA KIDNEY & HYPERTENSION CLINIC
Street 334 SMITH AVENUE
City THOMASVILLE
State GA
ZIP 31792
Phone 229 227-1595
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 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Physician Office
Lab Director DR. W MERRILL HICKS JR

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