11D2310478 CLIA NUMBER - CLOCKTOWER MEDICAL GROUP, LLC

Laboratory Demographics

  • CLIA Code: 11D2310478
  • Facility Name: CLOCKTOWER MEDICAL GROUP, LLC
  • Facility Address: 306 E 6TH AVENUE
    ROME, GA
    ZIP 30161
  • Facility Phone: 706 262-7850
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN D. MCNIECE
  • NPI Number: 1427895200
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2310478
LAB Type Physician Office
Facility Name CLOCKTOWER MEDICAL GROUP, LLC
Street 306 E 6TH AVENUE
City ROME
State GA
ZIP 30161
Phone 706 262-7850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Physician Office
Lab Director BRIAN D. MCNIECE

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