11D2003626 CLIA NUMBER - DORMINY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 11D2003626
  • Facility Name: DORMINY MEDICAL CENTER
  • Facility Address: 116 BENJAMIN HILL DRIVE, SUITE 12
    FITZGERALD, GA
    ZIP 31750
  • Facility Phone: 229 424-7263
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: JAMES A. MACDONALD
  • NPI Number: 1477697134
  • Taxonomy: 3336C0002X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2003626
LAB Type Rural Health Clinic
Facility Name DORMINY MEDICAL CENTER
Street 116 BENJAMIN HILL DRIVE, SUITE 12
City FITZGERALD
State GA
ZIP 31750
Phone 229 424-7263
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Rural Health Clinic
Lab Director JAMES A. MACDONALD

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