11D2243795 CLIA NUMBER - MIDDLE GEORGIA HEART AND VASCULAR CENTER

Laboratory Demographics

  • CLIA Code: 11D2243795
  • Facility Name: MIDDLE GEORGIA HEART AND VASCULAR CENTER
  • Facility Address: 679 W MLK JR DRIVE
    MILLEDGEVILLE, GA
    ZIP 31061
  • Facility Phone: 478 254-2466
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM KNOPF
  • NPI Number: 1376135715
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 11D2243795
LAB Type Physician Office
Facility Name MIDDLE GEORGIA HEART AND VASCULAR CENTER
Street 679 W MLK JR DRIVE
City MILLEDGEVILLE
State GA
ZIP 31061
Phone 478 254-2466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Physician Office
Lab Director WILLIAM KNOPF

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