11D2270412 CLIA NUMBER - SOUTHEAST MEDICAL GROUP DBA ADVANCED MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 11D2270412
  • Facility Name: SOUTHEAST MEDICAL GROUP DBA ADVANCED MEDICAL ASSOCIATES
  • Facility Address: 707 N HOUSTON ROAD
    WARNER ROBINS, GA
    ZIP 31093
  • Facility Phone: 770 442-1911
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANILKUMAR PILLAI
  • NPI Number: 1043757099
  • Taxonomy: 253Z00000X - In Home Supportive Care

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2270412
LAB Type Physician Office
Facility Name SOUTHEAST MEDICAL GROUP DBA ADVANCED MEDICAL ASSOCIATES
Street 707 N HOUSTON ROAD
City WARNER ROBINS
State GA
ZIP 31093
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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