11D2015828 CLIA NUMBER - GASTROENTEROLOGY ASSOCIATES OF CENTERAL GA, LLC

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Laboratory Demographics

CLIA Number: 11D2015828

Facility Name: GASTROENTEROLOGY ASSOCIATES OF CENTERAL GA, LLC

Facility Address:
610 3RD STREET, SUITE 100
MACON, GA
ZIP 31201
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Facility Phone Number: 478 464-2600

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1528192176

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	11D2015828
LAB Type	Physician Office
Facility Name	GASTROENTEROLOGY ASSOCIATES OF CENTERAL GA, LLC
Street	610 3RD STREET, SUITE 100
City	MACON
State	GA
ZIP	31201
Phone	478 464-2600
CertificateType	2
CertificateEffectiveDate	9/11/2023
CertificateExpirationDate	9/10/2025
FacilityType	Compliance

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