11D2176677 CLIA NUMBER - WARM SPRINGS MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 11D2176677
  • Facility Name: WARM SPRINGS MEDICAL CLINIC
  • Facility Address: 64 A JONES MILL ROAD
    WOODBURY, GA
    ZIP 30293
  • Facility Phone: 706 553-5637
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MEENAKSHI GUPTA
  • NPI Number: 1912564618
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2176677
LAB Type Rural Health Clinic
Facility Name WARM SPRINGS MEDICAL CLINIC
Street 64 A JONES MILL ROAD
City WOODBURY
State GA
ZIP 30293
Phone 706 553-5637
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Rural Health Clinic
Lab Director MEENAKSHI GUPTA

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