11D2287878 CLIA NUMBER - PIEDMONT HEART AT AUGUSTA - BLDG 5, SUITE 5100

Laboratory Demographics

  • CLIA Code: 11D2287878
  • Facility Name: PIEDMONT HEART AT AUGUSTA - BLDG 5, SUITE 5100
  • Facility Address: 1348 WALTON WAY, SUITE 5100
    AUGUSTA, GA
    ZIP 30901
  • Facility Phone: 706 724-8611
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAC A. BOWMAN
  • NPI Number: 1700474244
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 11D2287878
LAB Type Physician Office
Facility Name PIEDMONT HEART AT AUGUSTA - BLDG 5, SUITE 5100
Street 1348 WALTON WAY, SUITE 5100
City AUGUSTA
State GA
ZIP 30901
Phone 706 724-8611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Physician Office
Lab Director MAC A. BOWMAN

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