11D0990593 CLIA NUMBER - MIDDLE GEORGIA FAMILY HEALTH

Laboratory Demographics

  • CLIA Code: 11D0990593
  • Facility Name: MIDDLE GEORGIA FAMILY HEALTH
  • Facility Address: 140 OSIGIAN BLVD, BLDG #300
    WARNER ROBINS, GA
    ZIP 31088
  • Facility Phone: 478 329-0291
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. RENNER
  • NPI Number: 1649441163
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0990593
LAB Type Physician Office
Facility Name MIDDLE GEORGIA FAMILY HEALTH
Street 140 OSIGIAN BLVD, BLDG #300
City WARNER ROBINS
State GA
ZIP 31088
Phone 478 329-0291
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director MICHAEL J. RENNER

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