11D2017895 CLIA NUMBER - JOHN M HENDERSON, DO,PC

Laboratory Demographics

  • CLIA Code: 11D2017895
  • Facility Name: JOHN M HENDERSON, DO,PC
  • Facility Address: 1900 10TH AVENUE SUITE 320
    COLUMBUS, GA
    ZIP 31901
  • Facility Phone: 706 323-5717
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN M. HENDERSON
  • NPI Number: 1477597979
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2017895
LAB Type Physician Office
Facility Name JOHN M HENDERSON, DO,PC
Street 1900 10TH AVENUE SUITE 320
City COLUMBUS
State GA
ZIP 31901
Phone 706 323-5717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director JOHN M. HENDERSON

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