11D0948963 CLIA NUMBER - COLLIER B GLADIN JR MD FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 11D0948963
  • Facility Name: COLLIER B GLADIN JR MD FAMILY MEDICINE
  • Facility Address: 140 NORTH CREST BOULEVARD
    MACON, GA
    ZIP 31210
  • Facility Phone: 478 757-8335
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: COLLIER B. GLADIN JR MD
  • NPI Number: 1063527430
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0948963
LAB Type Physician Office
Facility Name COLLIER B GLADIN JR MD FAMILY MEDICINE
Street 140 NORTH CREST BOULEVARD
City MACON
State GA
ZIP 31210
Phone 478 757-8335
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Physician Office
Lab Director COLLIER B. GLADIN JR MD

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