11D2193326 CLIA NUMBER - PHYSICIANS UNITED URGENT CARE

Laboratory Demographics

  • CLIA Code: 11D2193326
  • Facility Name: PHYSICIANS UNITED URGENT CARE
  • Facility Address: 253 ROBERT C DANIEL PARKWAY, SUITE C
    AUGUSTA, GA
    ZIP 30909
  • Facility Phone: 706 925-2273
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FATIMA E. KASIAH
  • NPI Number: 1497313258
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

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
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Physician Office
Lab Director FATIMA E. KASIAH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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