11D2099545 CLIA NUMBER - BACON COUNTY INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 11D2099545
  • Facility Name: BACON COUNTY INTERNAL MEDICINE
  • Facility Address: 143 GA HWY 32 BYPASS
    ALMA, GA
    ZIP 31510
  • Facility Phone: 912 383-7826
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES STAN SINCLAIR
  • NPI Number: 1639558539
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2099545
LAB Type Physician Office
Facility Name BACON COUNTY INTERNAL MEDICINE
Street 143 GA HWY 32 BYPASS
City ALMA
State GA
ZIP 31510
Phone 912 383-7826
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Physician Office
Lab Director JAMES STAN SINCLAIR

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