11D2083966 CLIA NUMBER - AMELIA MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 11D2083966
  • Facility Name: AMELIA MEDICAL CARE
  • Facility Address: 3435 SECOND STREET
    FOLKSTON, GA
    ZIP 31537
  • Facility Phone: 912 496-0041
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL J. MATRICIA
  • NPI Number: 1063825842
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2083966
LAB Type Physician Office
Facility Name AMELIA MEDICAL CARE
Street 3435 SECOND STREET
City FOLKSTON
State GA
ZIP 31537
Phone 912 496-0041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Physician Office
Lab Director DANIEL J. MATRICIA

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