11D0913636 CLIA NUMBER - LAMAR MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 11D0913636
  • Facility Name: LAMAR MEDICAL CENTER
  • Facility Address: 1448 LEE BEARD WAY
    AUGUSTA, GA
    ZIP 30901
  • Facility Phone: 706 828-7468
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: BENJAMIN RUCKER MD
  • NPI Number: 1558544684
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0913636
LAB Type Community Clinic
Facility Name LAMAR MEDICAL CENTER
Street 1448 LEE BEARD WAY
City AUGUSTA
State GA
ZIP 30901
Phone 706 828-7468
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 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Community Clinic
Lab Director BENJAMIN RUCKER 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