11D1046799 CLIA NUMBER - AZALEA WOMENS CENTER

Laboratory Demographics

  • CLIA Code: 11D1046799
  • Facility Name: AZALEA WOMENS CENTER
  • Facility Address: 2307 N PATTERSON STREET
    VALDOSTA, GA
    ZIP 31602
  • Facility Phone: 229 242-8888
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN M. SHARON
  • NPI Number: 1710194097
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D1046799
LAB Type Physician Office
Facility Name AZALEA WOMENS CENTER
Street 2307 N PATTERSON STREET
City VALDOSTA
State GA
ZIP 31602
Phone 229 242-8888
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 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Physician Office
Lab Director JOHN M. SHARON

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