11D1077773 CLIA NUMBER - NEW MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 11D1077773
  • Facility Name: NEW MEDICAL CENTER
  • Facility Address: 72 KENT ROAD, UNIT 4
    TIFTON, GA
    ZIP 31794
  • Facility Phone: 229 386-5101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NANDLAL CHAINANI
  • NPI Number: 1760660203
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D1077773
LAB Type Physician Office
Facility Name NEW MEDICAL CENTER
Street 72 KENT ROAD, UNIT 4
City TIFTON
State GA
ZIP 31794
Phone 229 386-5101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Physician Office
Lab Director NANDLAL CHAINANI

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