11D1103742 CLIA NUMBER - DIAMOND ODELL JUDE MD,LLC

Laboratory Demographics

  • CLIA Code: 11D1103742
  • Facility Name: DIAMOND ODELL JUDE MD,LLC
  • Facility Address: 657 HEMLOCK STREET, SUITE 221
    MACON, GA
    ZIP 31201
  • Facility Phone: (478) 750-8984
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIAMOND ODELL JUDE
  • NPI Number: 1386412005
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1103742
LAB Type Physician Office
Facility Name DIAMOND ODELL JUDE MD,LLC
Street 657 HEMLOCK STREET, SUITE 221
City MACON
State GA
ZIP 31201
Phone 4787508984
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Physician Office
Lab Director DIAMOND ODELL JUDE

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