11D2168668 CLIA NUMBER - CENTRAL GEORGIA VASCULAR SOLUTIONS, LLC

Laboratory Demographics

  • CLIA Code: 11D2168668
  • Facility Name: CENTRAL GEORGIA VASCULAR SOLUTIONS, LLC
  • Facility Address: 688 WALNUT STREET, SUITE 201
    MACON, GA
    ZIP 31201
  • Facility Phone: 478 733-5635
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEGAN RICE
  • NPI Number: 1871058933
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2168668
LAB Type Physician Office
Facility Name CENTRAL GEORGIA VASCULAR SOLUTIONS, LLC
Street 688 WALNUT STREET, SUITE 201
City MACON
State GA
ZIP 31201
Phone 478 733-5635
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Physician Office
Lab Director MEGAN RICE

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