11D2150384 CLIA NUMBER - DUBLIN WOMEN'S CENTER

Laboratory Demographics

  • CLIA Code: 11D2150384
  • Facility Name: DUBLIN WOMEN'S CENTER
  • Facility Address: 227 INDUSTRIAL BOULEVARD
    DUBLIN, GA
    ZIP 31021
  • Facility Phone: 478 275-1304
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK L. BOLES
  • NPI Number: 1508124249
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2150384
LAB Type Physician Office
Facility Name DUBLIN WOMEN'S CENTER
Street 227 INDUSTRIAL BOULEVARD
City DUBLIN
State GA
ZIP 31021
Phone 478 275-1304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Physician Office
Lab Director MARK L. BOLES

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