11D2269144 CLIA NUMBER - MEDPLUS IMMEDIATE CARE

Laboratory Demographics

  • CLIA Code: 11D2269144
  • Facility Name: MEDPLUS IMMEDIATE CARE
  • Facility Address: 2822 NOTTINGHAM WAY, SUITE 4
    ALBANY, GA
    ZIP 31707
  • Facility Phone: 478 272-8140
  • Facility Type: Other - IMMEDIATE CARE
  • Facility Type: Waiver
  • Lab Director: JOHN W. SOUZA
  • NPI Number: 1215600564
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 11D2269144
LAB Type Other - IMMEDIATE CARE
Facility Name MEDPLUS IMMEDIATE CARE
Street 2822 NOTTINGHAM WAY, SUITE 4
City ALBANY
State GA
ZIP 31707
Phone 478 272-8140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Other - IMMEDIATE CARE
Lab Director JOHN W. SOUZA

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