11D2132677 CLIA NUMBER - MIDDLE GEORGIA STATE UNIVERSITY

Laboratory Demographics

  • CLIA Code: 11D2132677
  • Facility Name: MIDDLE GEORGIA STATE UNIVERSITY
  • Facility Address: 1100 2ND STREET, SE, (HEALTH CLINIC)
    COCHRAN, GA
    ZIP 31014
  • Facility Phone: 478 271-5401
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DANIELA L. TORRIES
  • NPI Number: 1972030799
  • Taxonomy: 208M00000X - Hospitalist

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CLIA Record

Field Name Field Value
CLIA Number 11D2132677
LAB Type School/Student Health Service
Facility Name MIDDLE GEORGIA STATE UNIVERSITY
Street 1100 2ND STREET, SE, (HEALTH CLINIC)
City COCHRAN
State GA
ZIP 31014
Phone 478 271-5401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type School/Student Health Service
Lab Director DANIELA L. TORRIES

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