11D1009811 CLIA NUMBER - PULMONARY MEDICINE INCORPORATE

Laboratory Demographics

  • CLIA Code: 11D1009811
  • Facility Name: PULMONARY MEDICINE INCORPORATE
  • Facility Address: 5900 RIVER ROAD SUITE 402
    COLUMBUS, GA
    ZIP 31904
  • Facility Phone: 706 660-9499
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BAHADIR BARIS MD
  • NPI Number: 1043270697
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1009811
LAB Type Physician Office
Facility Name PULMONARY MEDICINE INCORPORATE
Street 5900 RIVER ROAD SUITE 402
City COLUMBUS
State GA
ZIP 31904
Phone 706 660-9499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Physician Office
Lab Director BAHADIR BARIS MD

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