11D0974999 CLIA NUMBER - PIEDMONT OCCUPATIONAL MEDICINE

Laboratory Demographics

  • CLIA Code: 11D0974999
  • Facility Name: PIEDMONT OCCUPATIONAL MEDICINE
  • Facility Address: 124 THIRD ST
    MACON, GA
    ZIP 31201
  • Facility Phone: 478 751-2900
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: BRIAN S. BOBB
  • NPI Number: 1669973186
  • Taxonomy: 2083X0100X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0974999
LAB Type Other - URGENT CARE
Facility Name PIEDMONT OCCUPATIONAL MEDICINE
Street 124 THIRD ST
City MACON
State GA
ZIP 31201
Phone 478 751-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Other - URGENT CARE
Lab Director BRIAN S. BOBB

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