11D2001344 CLIA NUMBER - MILLEDGEVILLE CBOC

Laboratory Demographics

CLIA Number: 11D2001344

Facility Name: MILLEDGEVILLE CBOC

Facility Address:
2249 CARL VINSON HWY
MILLEDGEVILLE, GA
ZIP 31061
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Facility Phone Number: 478 445-2544

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1265593917

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name Field Value
CLIA Number 11D2001344
LAB Type Community Clinic
Facility Name MILLEDGEVILLE CBOC
Street 2249 CARL VINSON HWY
City MILLEDGEVILLE
State GA
ZIP 31061
Phone 478 445-2544
CertificateType 1
CertificateEffectiveDate 12/17/2009
CertificateExpirationDate 5/22/2026
FacilityType Accreditation

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This page was last updated on: 4/23/2024