11D0998543 CLIA NUMBER - MILLER FAMILY PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 11D0998543
  • Facility Name: MILLER FAMILY PRACTICE LLC
  • Facility Address: 1818 FORSYTH STREET, SUITE 200
    MACON, GA
    ZIP 31201
  • Facility Phone: 478 745-7878
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CONRAD N. MILLER JUNIOR MD
  • NPI Number: 1073723680
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0998543
LAB Type Physician Office
Facility Name MILLER FAMILY PRACTICE LLC
Street 1818 FORSYTH STREET, SUITE 200
City MACON
State GA
ZIP 31201
Phone 478 745-7878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Physician Office
Lab Director CONRAD N. MILLER JUNIOR MD

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