11D2063577 CLIA NUMBER - PERRY INTERNAL MEDICINE, LLC

Laboratory Demographics

  • CLIA Code: 11D2063577
  • Facility Name: PERRY INTERNAL MEDICINE, LLC
  • Facility Address: 334 MARGIE DRIVE
    WARNER ROBINS, GA
    ZIP 31088
  • Facility Phone: 478 988-0022
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID J. COX
  • NPI Number: 1013352681
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2063577
LAB Type Physician Office
Facility Name PERRY INTERNAL MEDICINE, LLC
Street 334 MARGIE DRIVE
City WARNER ROBINS
State GA
ZIP 31088
Phone 478 988-0022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Physician Office
Lab Director DAVID J. COX

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