11D2012511 CLIA NUMBER - JASON MOYE, MD, D/B/A S W GEORGIA OB/GYN

Laboratory Demographics

  • CLIA Code: 11D2012511
  • Facility Name: JASON MOYE, MD, D/B/A S W GEORGIA OB/GYN
  • Facility Address: 1501 E MILULI AVENUE
    BAINBRIDGE, GA
    ZIP 39819
  • Facility Phone: 229 243-3360
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MR. JASON MOYE
  • NPI Number: 1629255252
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2012511
LAB Type Physician Office
Facility Name JASON MOYE, MD, D/B/A S W GEORGIA OB/GYN
Street 1501 E MILULI AVENUE
City BAINBRIDGE
State GA
ZIP 39819
Phone 229 243-3360
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Physician Office
Lab Director MR. JASON MOYE

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