11D2270408 CLIA NUMBER - SOUTHEAST MEDICAL GROUP DBA ADVANCED MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 11D2270408
  • Facility Name: SOUTHEAST MEDICAL GROUP DBA ADVANCED MEDICAL ASSOCIATES
  • Facility Address: 1282 S HOUSTON LAKE ROAD
    WARNER ROBINS, GA
    ZIP 31088
  • Facility Phone: 770 442-1911
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANILKUMAR PILLAI
  • NPI Number: 1790037422
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 11D2270408
LAB Type Physician Office
Facility Name SOUTHEAST MEDICAL GROUP DBA ADVANCED MEDICAL ASSOCIATES
Street 1282 S HOUSTON LAKE ROAD
City WARNER ROBINS
State GA
ZIP 31088
Phone 770 442-1911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Physician Office
Lab Director ANILKUMAR PILLAI

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