11D2048659 CLIA NUMBER - DEEPTI BHASIN, MD, INC

Laboratory Demographics

  • CLIA Code: 11D2048659
  • Facility Name: DEEPTI BHASIN, MD, INC
  • Facility Address: 402 OSIGIAN BLVD, SUITE 400
    WARNER ROBINS, GA
    ZIP 31088
  • Facility Phone: 478 333-3058
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DEEPTI J. BHASIN
  • NPI Number: 1285717942
  • Taxonomy: 2084P0804X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 11D2048659
LAB Type Physician Office
Facility Name DEEPTI BHASIN, MD, INC
Street 402 OSIGIAN BLVD, SUITE 400
City WARNER ROBINS
State GA
ZIP 31088
Phone 478 333-3058
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Physician Office
Lab Director DR. DEEPTI J. BHASIN

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