11D2163367 CLIA NUMBER - MCLEAN CARES

Laboratory Demographics

  • CLIA Code: 11D2163367
  • Facility Name: MCLEAN CARES
  • Facility Address: 1385 PIO NONO AVENUE
    MACON, GA
    ZIP 31204
  • Facility Phone: 478 743-1883
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD C. MCLEAN
  • NPI Number: 1487037024
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2163367
LAB Type Physician Office
Facility Name MCLEAN CARES
Street 1385 PIO NONO AVENUE
City MACON
State GA
ZIP 31204
Phone 478 743-1883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director RONALD C. MCLEAN

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