11D2224898 CLIA NUMBER - IRWIN FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 11D2224898
  • Facility Name: IRWIN FAMILY MEDICINE
  • Facility Address: 361 CARGILE ROAD
    OCILLA, GA
    ZIP 31774
  • Facility Phone: 229 468-3975
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOWARD MCMAHAN
  • NPI Number: 1245868918
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2224898
LAB Type Physician Office
Facility Name IRWIN FAMILY MEDICINE
Street 361 CARGILE ROAD
City OCILLA
State GA
ZIP 31774
Phone 229 468-3975
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Physician Office
Lab Director HOWARD MCMAHAN

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