11D0991709 CLIA NUMBER - CYNTHIA L GILES DO LLC

Laboratory Demographics

  • CLIA Code: 11D0991709
  • Facility Name: CYNTHIA L GILES DO LLC
  • Facility Address: 555 BLUE BIRD BOULEVARD
    FORT VALLEY, GA
    ZIP 31030
  • Facility Phone: 478 825-8954
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CYNTHIA L. GILES DO
  • NPI Number: 1912975889
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0991709
LAB Type Physician Office
Facility Name CYNTHIA L GILES DO LLC
Street 555 BLUE BIRD BOULEVARD
City FORT VALLEY
State GA
ZIP 31030
Phone 478 825-8954
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Physician Office
Lab Director CYNTHIA L. GILES DO

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