11D2193326 CLIA NUMBER - PHYSICIANS UNITED URGENT CARE

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Laboratory Demographics

CLIA Number: 11D2193326

Facility Name: PHYSICIANS UNITED URGENT CARE

Facility Address:
253 ROBERT C DANIEL PARKWAY, SUITE C
AUGUSTA, GA
ZIP 30909
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Facility Phone Number: 706 925-2273

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1497313258

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2193326
LAB Type	Physician Office
Facility Name	PHYSICIANS UNITED URGENT CARE
Street	253 ROBERT C DANIEL PARKWAY, SUITE C
City	AUGUSTA
State	GA
ZIP	30909
Phone	706 925-2273
CertificateType	3
CertificateEffectiveDate	4/25/2023
CertificateExpirationDate	4/24/2025
FacilityType	PPMP

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