11D0988959 CLIA NUMBER - CENTRAL GEORGIA CANCER CARE

Laboratory Demographics

CLIA Number: 11D0988959

Facility Name: CENTRAL GEORGIA CANCER CARE

Facility Address:
114 SUTHERLIN DRIVE C 1
WARNER ROBINS, GA
ZIP 31088
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Facility Phone Number: 478 287-6144

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1710379649

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	11D0988959
LAB Type	Physician Office
Facility Name	CENTRAL GEORGIA CANCER CARE
Street	114 SUTHERLIN DRIVE C 1
City	WARNER ROBINS
State	GA
ZIP	31088
Phone	478 287-6144
CertificateType	2
CertificateEffectiveDate	9/19/2023
CertificateExpirationDate	9/18/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024