11D1006500 CLIA NUMBER - MARK D BYRON MD

Laboratory Demographics

  • CLIA Code: 11D1006500
  • Facility Name: MARK D BYRON MD
  • Facility Address: 825 S 1ST STREET
    JESUP, GA
    ZIP 31545
  • Facility Phone: 912 427-8033
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK D. BYRON
  • NPI Number: 1154315877
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 11D1006500
LAB Type Physician Office
Facility Name MARK D BYRON MD
Street 825 S 1ST STREET
City JESUP
State GA
ZIP 31545
Phone 912 427-8033
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Physician Office
Lab Director MARK D. BYRON

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