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11D2059118 CLIA NUMBER - WARNER ROBINS MEDICAL CLINIC, PC

Laboratory Demographics

CLIA Number: 11D2059118

Facility Name: WARNER ROBINS MEDICAL CLINIC, PC

Facility Address:
623 SOUTH HOUSTON LAKE ROAD, SUITE 500
WARNER ROBINS, GA
ZIP 31088
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Facility Phone Number: 478 333-6977

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1225372329

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 11D2059118
LAB Type Physician Office
Facility Name WARNER ROBINS MEDICAL CLINIC, PC
Street 623 SOUTH HOUSTON LAKE ROAD, SUITE 500
City WARNER ROBINS
State GA
ZIP 31088
Phone 478 333-6977
CertificateType 4
CertificateEffectiveDate 5/20/2023
CertificateExpirationDate 5/19/2025
FacilityType Waiver

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