11D1046699 CLIA NUMBER - TERILYN PERRY MD

Laboratory Demographics

  • CLIA Code: 11D1046699
  • Facility Name: TERILYN PERRY MD
  • Facility Address: 3655 GURLEY DRIVE, SUITE B
    COLUMBUS, GA
    ZIP 31904
  • Facility Phone: 706 660-1200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERILYN PERRY
  • NPI Number: 1700868221
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D1046699
LAB Type Physician Office
Facility Name TERILYN PERRY MD
Street 3655 GURLEY DRIVE, SUITE B
City COLUMBUS
State GA
ZIP 31904
Phone 706 660-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2023
Certificate Expiration Date 10/16/2025
Facility Type Physician Office
Lab Director TERILYN PERRY

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