11D0977396 CLIA NUMBER - GEORGIA HEART PHYSICIANS LLC

Laboratory Demographics

  • CLIA Code: 11D0977396
  • Facility Name: GEORGIA HEART PHYSICIANS LLC
  • Facility Address: 654 FIRST STREET
    MACON, GA
    ZIP 31201
  • Facility Phone: 912 738-9443
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OBINNAYA C. EMEROLE MD
  • NPI Number: 1407994437
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0977396
LAB Type Physician Office
Facility Name GEORGIA HEART PHYSICIANS LLC
Street 654 FIRST STREET
City MACON
State GA
ZIP 31201
Phone 912 738-9443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Physician Office
Lab Director OBINNAYA C. EMEROLE MD

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