11D1074085 CLIA NUMBER - MADISON MEDICAL ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 11D1074085
  • Facility Name: MADISON MEDICAL ASSOCIATES PC
  • Facility Address: 1550 EATONTON ROAD
    MADISON, GA
    ZIP 30650
  • Facility Phone: 706 752-0322
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID T. FLETCHER
  • NPI Number: 1801080288
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D1074085
LAB Type Physician Office
Facility Name MADISON MEDICAL ASSOCIATES PC
Street 1550 EATONTON ROAD
City MADISON
State GA
ZIP 30650
Phone 706 752-0322
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 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Physician Office
Lab Director DAVID T. FLETCHER

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