11D0935959 CLIA NUMBER - ADVENTHEALTH MEDICAL GROUP AT TRION

Laboratory Demographics

  • CLIA Code: 11D0935959
  • Facility Name: ADVENTHEALTH MEDICAL GROUP AT TRION
  • Facility Address: 160 CENTRAL AVENUE
    TRION, GA
    ZIP 30753
  • Facility Phone: 706 734-7302
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WAYNE T. RICHEY
  • NPI Number: 1619966025
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0935959
LAB Type Physician Office
Facility Name ADVENTHEALTH MEDICAL GROUP AT TRION
Street 160 CENTRAL AVENUE
City TRION
State GA
ZIP 30753
Phone 706 734-7302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Physician Office
Lab Director WAYNE T. RICHEY

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