11D0950627 CLIA NUMBER - CLAY COUNTY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 11D0950627
  • Facility Name: CLAY COUNTY MEDICAL CENTER
  • Facility Address: 305 SOUTH WASHINGTON ST
    FORT GAINES, GA
    ZIP 39851
  • Facility Phone: 229 768-3888
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KAREN S. KINSELL MD
  • NPI Number: 1508923210
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0950627
LAB Type Physician Office
Facility Name CLAY COUNTY MEDICAL CENTER
Street 305 SOUTH WASHINGTON ST
City FORT GAINES
State GA
ZIP 39851
Phone 229 768-3888
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director KAREN S. KINSELL MD

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