11D0978199 CLIA NUMBER - MIDDLE GEORGIA PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 11D0978199
  • Facility Name: MIDDLE GEORGIA PEDIATRICS LLC
  • Facility Address: 1508 B HARDEMAN AVENUE, ATTN MICHELLE KELLY
    MACON, GA
    ZIP 31201
  • Facility Phone: 478 741-7337
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SETH BUSH MD
  • NPI Number: 1285009811
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0978199
LAB Type Physician Office
Facility Name MIDDLE GEORGIA PEDIATRICS LLC
Street 1508 B HARDEMAN AVENUE, ATTN MICHELLE KELLY
City MACON
State GA
ZIP 31201
Phone 478 741-7337
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Physician Office
Lab Director SETH BUSH MD

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