11D2108183 CLIA NUMBER - ROSSANA Y CARTER, MD, LLC

Laboratory Demographics

  • CLIA Code: 11D2108183
  • Facility Name: ROSSANA Y CARTER, MD, LLC
  • Facility Address: 330 HOSPITAL DR
    MACON, GA
    ZIP 31217
  • Facility Phone: 478 742-1010
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: EDWIN T. THARPE
  • NPI Number: 1912089251
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2108183
LAB Type Physician Office
Facility Name ROSSANA Y CARTER, MD, LLC
Street 330 HOSPITAL DR
City MACON
State GA
ZIP 31217
Phone 478 742-1010
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Physician Office
Lab Director EDWIN T. THARPE

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