11D2268832 CLIA NUMBER - HOUSTON PRIMARY CARE PHYSICIANS, LLC

Laboratory Demographics

  • CLIA Code: 11D2268832
  • Facility Name: HOUSTON PRIMARY CARE PHYSICIANS, LLC
  • Facility Address: 1260 RUSSELL PARKWAY
    WARNER ROBINS, GA
    ZIP 31088
  • Facility Phone: 475 352-8880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DYLAN A. CARROLL
  • NPI Number: 1568473767
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2268832
LAB Type Physician Office
Facility Name HOUSTON PRIMARY CARE PHYSICIANS, LLC
Street 1260 RUSSELL PARKWAY
City WARNER ROBINS
State GA
ZIP 31088
Phone 475 352-8880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2024
Certificate Expiration Date 9/18/2026
Facility Type Physician Office
Lab Director DYLAN A. CARROLL

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