11D2152587 CLIA NUMBER - AFTER HOURS URGENT CARE, LLC

Laboratory Demographics

CLIA Number: 11D2152587

Facility Name: AFTER HOURS URGENT CARE, LLC

Facility Address:
1550 EATONTON ROAD
MADISON, GA
ZIP 30650
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Facility Phone Number: 706 438-6486

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1376089011

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2152587
LAB Type	Physician Office
Facility Name	AFTER HOURS URGENT CARE, LLC
Street	1550 EATONTON ROAD
City	MADISON
State	GA
ZIP	30650
Phone	706 438-6486
CertificateType	4
CertificateEffectiveDate	8/13/2022
CertificateExpirationDate	8/12/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024