11D2158555 CLIA NUMBER - URGENT CARE OF OCONEE - MADISON

Laboratory Demographics

CLIA Number: 11D2158555

Facility Name: URGENT CARE OF OCONEE - MADISON

Facility Address:
1690 EATONTON HIGHWAY
MADISON, GA
ZIP 30650
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Facility Phone Number: 706 343-4043

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1447871793

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2158555
LAB Type	Physician Office
Facility Name	URGENT CARE OF OCONEE - MADISON
Street	1690 EATONTON HIGHWAY
City	MADISON
State	GA
ZIP	30650
Phone	706 343-4043
CertificateType	2
CertificateEffectiveDate	11/16/2022
CertificateExpirationDate	11/15/2024
FacilityType	Compliance

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