11D0974730 CLIA NUMBER - CAMDEN HEALTHCARE ASSOCIATES INC DBA BLACKSHEAR FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 11D0974730
  • Facility Name: CAMDEN HEALTHCARE ASSOCIATES INC DBA BLACKSHEAR FAMILY PRACTICE
  • Facility Address: 71 JOHNSON STREET
    NAHUNTA, GA
    ZIP 31553
  • Facility Phone: 912 462-8920
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GORDON B. WATERS
  • NPI Number: 1710383526
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0974730
LAB Type Physician Office
Facility Name CAMDEN HEALTHCARE ASSOCIATES INC DBA BLACKSHEAR FAMILY PRACTICE
Street 71 JOHNSON STREET
City NAHUNTA
State GA
ZIP 31553
Phone 912 462-8920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Physician Office
Lab Director GORDON B. WATERS

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