11D1060302 CLIA NUMBER - SOUTH GEORGIA PHYSICIANS GROUP

Laboratory Demographics

  • CLIA Code: 11D1060302
  • Facility Name: SOUTH GEORGIA PHYSICIANS GROUP
  • Facility Address: 203 SOUTH WAYNE STREET
    ALMA, GA
    ZIP 31510
  • Facility Phone: 912 632-8288
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LOU ELLEN HUTCHESON
  • NPI Number: 1154429991
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D1060302
LAB Type Physician Office
Facility Name SOUTH GEORGIA PHYSICIANS GROUP
Street 203 SOUTH WAYNE STREET
City ALMA
State GA
ZIP 31510
Phone 912 632-8288
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 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director LOU ELLEN HUTCHESON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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