11D2046405 CLIA NUMBER - AUGUSTA MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 11D2046405
  • Facility Name: AUGUSTA MEDICAL CARE
  • Facility Address: 1350 AUGUSTA W PKWY
    AUGUSTA, GA
    ZIP 30909
  • Facility Phone: 706 496-2573
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KASHIF NASEEM
  • NPI Number: 1417260902
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 11D2046405
LAB Type Physician Office
Facility Name AUGUSTA MEDICAL CARE
Street 1350 AUGUSTA W PKWY
City AUGUSTA
State GA
ZIP 30909
Phone 706 496-2573
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Physician Office
Lab Director DR. KASHIF NASEEM

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