11D0970020 CLIA NUMBER - BENJAMIN F TOWE MD PC

Laboratory Demographics

  • CLIA Code: 11D0970020
  • Facility Name: BENJAMIN F TOWE MD PC
  • Facility Address: 210 OAK STREET
    MARTINEZ, GA
    ZIP 30907
  • Facility Phone: 706 228-1677
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BENJAMIN F. TOWE MD
  • NPI Number: 1457335549
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0970020
LAB Type Physician Office
Facility Name BENJAMIN F TOWE MD PC
Street 210 OAK STREET
City MARTINEZ
State GA
ZIP 30907
Phone 706 228-1677
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 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Physician Office
Lab Director BENJAMIN F. TOWE MD

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