11D2099222 CLIA NUMBER - MACON MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 11D2099222
  • Facility Name: MACON MEDICAL CENTER
  • Facility Address: 1818 FORSYTH STREET, BUILDING 200, SUITE 214
    MACON, GA
    ZIP 31201
  • Facility Phone: 478 741-5901
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MAGGIE L. HOPKINS
  • NPI Number: 1376813451
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2099222
LAB Type Physician Office
Facility Name MACON MEDICAL CENTER
Street 1818 FORSYTH STREET, BUILDING 200, SUITE 214
City MACON
State GA
ZIP 31201
Phone 478 741-5901
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Physician Office
Lab Director MAGGIE L. HOPKINS

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