11D2075946 CLIA NUMBER - CONCENTRA-AUGUSTA WEST

Laboratory Demographics

  • CLIA Code: 11D2075946
  • Facility Name: CONCENTRA-AUGUSTA WEST
  • Facility Address: 3205 DEANS BRIDGE ROAD SUITE 9
    AUGUSTA, GA
    ZIP 30906
  • Facility Phone: 762 222-1123
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANKI PATEL
  • NPI Number: 1801211024
  • Taxonomy: 2083X0100X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2075946
LAB Type Physician Office
Facility Name CONCENTRA-AUGUSTA WEST
Street 3205 DEANS BRIDGE ROAD SUITE 9
City AUGUSTA
State GA
ZIP 30906
Phone 762 222-1123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Physician Office
Lab Director JANKI PATEL

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