11D2132097 CLIA NUMBER - MEDICAL ASSOCIATES PLUS

Laboratory Demographics

  • CLIA Code: 11D2132097
  • Facility Name: MEDICAL ASSOCIATES PLUS
  • Facility Address: 1115 GARREDD BLVD
    AUGUSTA, GA
    ZIP 30909
  • Facility Phone: (770) 922-4620
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: BIE ETINGE
  • NPI Number: 1154811511
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2132097
LAB Type Federally Qualified Health Center
Facility Name MEDICAL ASSOCIATES PLUS
Street 1115 GARREDD BLVD
City AUGUSTA
State GA
ZIP 30909
Phone 7709224620
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 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Federally Qualified Health Center
Lab Director BIE ETINGE

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This page was last updated on: 5/18/2026