11D0898898 CLIA NUMBER - LESLEY J COWAN MD LLC

Laboratory Demographics

  • CLIA Code: 11D0898898
  • Facility Name: LESLEY J COWAN MD LLC
  • Facility Address: 4061 VINEVILLE AVENUE
    MACON, GA
    ZIP 31210
  • Facility Phone: 478 757-7345
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LESLEY J. COWN MD
  • NPI Number: 1346264702
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0898898
LAB Type Physician Office
Facility Name LESLEY J COWAN MD LLC
Street 4061 VINEVILLE AVENUE
City MACON
State GA
ZIP 31210
Phone 478 757-7345
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 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Physician Office
Lab Director LESLEY J. COWN MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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