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11D2274865 CLIA NUMBER - MOSS MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 11D2274865

Facility Name: MOSS MEDICAL CLINIC

Facility Address:
530 SOUTH HOUSTON LAKE ROAD
WARNER ROBINS, GA
ZIP 31088
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Facility Phone Number: 478 666-3377

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1407639677

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 11D2274865
LAB Type Physician Office
Facility Name MOSS MEDICAL CLINIC
Street 530 SOUTH HOUSTON LAKE ROAD
City WARNER ROBINS
State GA
ZIP 31088
Phone 478 666-3377
CertificateType 4
CertificateEffectiveDate 1/11/2023
CertificateExpirationDate 1/10/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024