11D2259237 CLIA NUMBER - WOMEN'S HEALTHCARE OF MIDDLE GA

Laboratory Demographics

CLIA Number: 11D2259237

Facility Name: WOMEN'S HEALTHCARE OF MIDDLE GA

Facility Address:
1023 KEITH DRIVE
PERRY, GA
ZIP 31069
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Facility Phone Number: 478 922-9136

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1487696837

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	11D2259237
LAB Type	Physician Office
Facility Name	WOMEN'S HEALTHCARE OF MIDDLE GA
Street	1023 KEITH DRIVE
City	PERRY
State	GA
ZIP	31069
Phone	478 922-9136
CertificateType	3
CertificateEffectiveDate	5/4/2024
CertificateExpirationDate	5/3/2026
FacilityType	PPMP

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