11D2011863 CLIA NUMBER - PIEDMONT COMMUNITY IMAGING OF NORTH COLUMBUS

Laboratory Demographics

  • CLIA Code: 11D2011863
  • Facility Name: PIEDMONT COMMUNITY IMAGING OF NORTH COLUMBUS
  • Facility Address: 7500 VETERANS PARKWAY, SUITE B
    COLUMBUS, GA
    ZIP 31909
  • Facility Phone: 706 323-7622
  • Facility Type: Other - OUT/P IMAGING CTR
  • Facility Type: Waiver
  • Lab Director: WILLIAM V. WAGSTAFF
  • NPI Number: 1598081093
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 11D2011863
LAB Type Other - OUT/P IMAGING CTR
Facility Name PIEDMONT COMMUNITY IMAGING OF NORTH COLUMBUS
Street 7500 VETERANS PARKWAY, SUITE B
City COLUMBUS
State GA
ZIP 31909
Phone 706 323-7622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Other - OUT/P IMAGING CTR
Lab Director WILLIAM V. WAGSTAFF

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This page was last updated on: 9/29/2025