11D2261243 CLIA NUMBER - ACCESS MEDICAL CLINIC GEORGIA, LLC

Laboratory Demographics

  • CLIA Code: 11D2261243
  • Facility Name: ACCESS MEDICAL CLINIC GEORGIA, LLC
  • Facility Address: 140 MARTIN PALMER DRIVE
    BRUNSWICK, GA
    ZIP 31523
  • Facility Phone: 870 856-1202
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK S. HAHN
  • NPI Number: 1023621646
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2261243
LAB Type Physician Office
Facility Name ACCESS MEDICAL CLINIC GEORGIA, LLC
Street 140 MARTIN PALMER DRIVE
City BRUNSWICK
State GA
ZIP 31523
Phone 870 856-1202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Physician Office
Lab Director MARK S. HAHN

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