11D0921007 CLIA NUMBER - GARY M WILLIAMS MD PC

Laboratory Demographics

  • CLIA Code: 11D0921007
  • Facility Name: GARY M WILLIAMS MD PC
  • Facility Address: 222 PERRY HIGHWAY, PULASKI PROF BLDG B
    HAWKINSVILLE, GA
    ZIP 31036
  • Facility Phone: 478 783-3025
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY M. WILLIAMS
  • NPI Number: 1427118181
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0921007
LAB Type Physician Office
Facility Name GARY M WILLIAMS MD PC
Street 222 PERRY HIGHWAY, PULASKI PROF BLDG B
City HAWKINSVILLE
State GA
ZIP 31036
Phone 478 783-3025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Physician Office
Lab Director GARY M. WILLIAMS

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