11D2224659 CLIA NUMBER - REDDY URGENT CARE ROYSTON

Laboratory Demographics

CLIA Number: 11D2224659

Facility Name: REDDY URGENT CARE ROYSTON

Facility Address:
132 FRANKLIN SPRINGS STREET
ROYSTON, GA
ZIP 30662
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Facility Phone Number: 706 621-7555

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104154673

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2224659
LAB Type	Physician Office
Facility Name	REDDY URGENT CARE ROYSTON
Street	132 FRANKLIN SPRINGS STREET
City	ROYSTON
State	GA
ZIP	30662
Phone	706 621-7555
CertificateType	4
CertificateEffectiveDate	5/14/2023
CertificateExpirationDate	5/13/2025
FacilityType	Waiver

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