11D0999811 CLIA NUMBER - CENTRAL GEORGIA HEART CENTER

Laboratory Demographics

  • CLIA Code: 11D0999811
  • Facility Name: CENTRAL GEORGIA HEART CENTER
  • Facility Address: 1062 FORSYTH ST, SUITE 1B
    MACON, GA
    ZIP 31201
  • Facility Phone: 478 741-1208
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK E. DOROGY
  • NPI Number: 1710382320
  • Taxonomy: 202K00000X - Phlebology

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CLIA Record

Field Name Field Value
CLIA Number 11D0999811
LAB Type Physician Office
Facility Name CENTRAL GEORGIA HEART CENTER
Street 1062 FORSYTH ST, SUITE 1B
City MACON
State GA
ZIP 31201
Phone 478 741-1208
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Physician Office
Lab Director MARK E. DOROGY

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