11D2180887 CLIA NUMBER - PATIENT 1ST HEALTH & WELLNESS ASSOCIATES

Laboratory Demographics

CLIA Number: 11D2180887

Facility Name: PATIENT 1ST HEALTH & WELLNESS ASSOCIATES

Facility Address:
504 GORDON AVENUE AVENUE
THOMASVILLE, GA
ZIP 31792
Get Directions

Facility Phone Number: 229 236-6601

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1760046593

Taxonomy: 207QA0505X - Family Medicine
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

CLIA Record

Field Name	Field Value
CLIA Number	11D2180887
LAB Type	Physician Office
Facility Name	PATIENT 1ST HEALTH & WELLNESS ASSOCIATES
Street	504 GORDON AVENUE AVENUE
City	THOMASVILLE
State	GA
ZIP	31792
Phone	229 236-6601
CertificateType	4
CertificateEffectiveDate	3/23/2024
CertificateExpirationDate	3/22/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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