11D2310201 CLIA NUMBER - RAPHAMED PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 11D2310201
  • Facility Name: RAPHAMED PRIMARY CARE
  • Facility Address: 1836 WATSON BOULEVARD
    WARNER ROBINS, GA
    ZIP 31093
  • Facility Phone: 478 352-0235
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUNDAY YUSUF
  • NPI Number: 1821821976
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2310201
LAB Type Physician Office
Facility Name RAPHAMED PRIMARY CARE
Street 1836 WATSON BOULEVARD
City WARNER ROBINS
State GA
ZIP 31093
Phone 478 352-0235
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Physician Office
Lab Director SUNDAY YUSUF

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