11D0950619 CLIA NUMBER - FOLKSTON FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 11D0950619
  • Facility Name: FOLKSTON FAMILY PRACTICE
  • Facility Address: 109 NORTH THIRD ST
    FOLKSTON, GA
    ZIP 31537
  • Facility Phone: 912 496-4839
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN N. WINNIE MD
  • NPI Number: 1558518357
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0950619
LAB Type Physician Office
Facility Name FOLKSTON FAMILY PRACTICE
Street 109 NORTH THIRD ST
City FOLKSTON
State GA
ZIP 31537
Phone 912 496-4839
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director JOHN N. WINNIE MD

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