11D2309527 CLIA NUMBER - DEFINE BLISS & LAB INCORPORATED

Laboratory Demographics

  • CLIA Code: 11D2309527
  • Facility Name: DEFINE BLISS & LAB INCORPORATED
  • Facility Address: 1000 CORPORATE POINTE
    WARNER ROBINS, GA
    ZIP 31088
  • Facility Phone: 478 777-6141
  • Facility Type: Other - SPECIMEN COLLECT SITE
  • Facility Type: Waiver
  • Lab Director: JAKELL THOMAS
  • NPI Number: 1205653672
  • Taxonomy: 374700000X - Technician

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CLIA Record

Field Name Field Value
CLIA Number 11D2309527
LAB Type Other - SPECIMEN COLLECT SITE
Facility Name DEFINE BLISS & LAB INCORPORATED
Street 1000 CORPORATE POINTE
City WARNER ROBINS
State GA
ZIP 31088
Phone 478 777-6141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Other - SPECIMEN COLLECT SITE
Lab Director JAKELL THOMAS

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