11D0945757 CLIA NUMBER - CSRA MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 11D0945757
  • Facility Name: CSRA MEDICAL ASSOCIATES
  • Facility Address: 2123 WRIGHTSBORO RD
    AUGUSTA, GA
    ZIP 30904
  • Facility Phone: (706) 736-5244
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CALVIN R. JACKSON
  • NPI Number: 1164530689
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0945757
LAB Type Physician Office
Facility Name CSRA MEDICAL ASSOCIATES
Street 2123 WRIGHTSBORO RD
City AUGUSTA
State GA
ZIP 30904
Phone 7067365244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2026
Certificate Expiration Date 5/7/2028
Facility Type Physician Office
Lab Director CALVIN R. JACKSON

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This page was last updated on: 5/18/2026