11D1065136 CLIA NUMBER - DOCTORS OF COMPASSIONATE SERVICES INC

Laboratory Demographics

  • CLIA Code: 11D1065136
  • Facility Name: DOCTORS OF COMPASSIONATE SERVICES INC
  • Facility Address: 18 LUCKIE ST
    BAXLEY, GA
    ZIP 31513
  • Facility Phone: (912) 366-1362
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. TONYA F. FORDHAM
  • NPI Number: 1821378076
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1065136
LAB Type Physician Office
Facility Name DOCTORS OF COMPASSIONATE SERVICES INC
Street 18 LUCKIE ST
City BAXLEY
State GA
ZIP 31513
Phone 9123661362
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Physician Office
Lab Director DR. TONYA F. FORDHAM

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This page was last updated on: 5/18/2026