11D1047329 CLIA NUMBER - SLEEP PRACTITIONERS, LLC

Laboratory Demographics

  • CLIA Code: 11D1047329
  • Facility Name: SLEEP PRACTITIONERS, LLC
  • Facility Address: 275 SHERATON BLVD
    MACON, GA
    ZIP 31210
  • Facility Phone: 478 745-5779
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES C. WELLS JR
  • NPI Number: 1023441656
  • Taxonomy: 2084S0012X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 11D1047329
LAB Type Physician Office
Facility Name SLEEP PRACTITIONERS, LLC
Street 275 SHERATON BLVD
City MACON
State GA
ZIP 31210
Phone 478 745-5779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director CHARLES C. WELLS JR

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