11D1016983 CLIA NUMBER - ALLERGY AND ASTHMA CLINICS OF GEORGIA

Laboratory Demographics

  • CLIA Code: 11D1016983
  • Facility Name: ALLERGY AND ASTHMA CLINICS OF GEORGIA
  • Facility Address: 105 SPANISH COURT
    ALBANY, GA
    ZIP 31707
  • Facility Phone: 229 438-7100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TRACY A. BRIDGES
  • NPI Number: 1093997447
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D1016983
LAB Type Physician Office
Facility Name ALLERGY AND ASTHMA CLINICS OF GEORGIA
Street 105 SPANISH COURT
City ALBANY
State GA
ZIP 31707
Phone 229 438-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Physician Office
Lab Director TRACY A. BRIDGES

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