11D1067271 CLIA NUMBER - OCMULGEE PHYSICIANS LABORATORY

Laboratory Demographics

  • CLIA Code: 11D1067271
  • Facility Name: OCMULGEE PHYSICIANS LABORATORY
  • Facility Address: 446 POPLAR STREET SUITE A
    MACON, GA
    ZIP 31201
  • Facility Phone: 478 746-0097
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: ALAN D. JUSTICE
  • NPI Number: 1629346416
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1067271
LAB Type Independent
Facility Name OCMULGEE PHYSICIANS LABORATORY
Street 446 POPLAR STREET SUITE A
City MACON
State GA
ZIP 31201
Phone 478 746-0097
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 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Independent
Lab Director ALAN D. JUSTICE

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