11D0950342 CLIA NUMBER - REGINALD V BROWN MD

Laboratory Demographics

  • CLIA Code: 11D0950342
  • Facility Name: REGINALD V BROWN MD
  • Facility Address: 2035 CENTRAL AVENUE
    AUGUSTA, GA
    ZIP 30904
  • Facility Phone: 706 855-6064
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REGINALD V. BROWN
  • NPI Number: 1801848304
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0950342
LAB Type Physician Office
Facility Name REGINALD V BROWN MD
Street 2035 CENTRAL AVENUE
City AUGUSTA
State GA
ZIP 30904
Phone 706 855-6064
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Physician Office
Lab Director REGINALD V. BROWN

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