11D2313472 CLIA NUMBER - EMANUEL PROMPT CARE

Laboratory Demographics

  • CLIA Code: 11D2313472
  • Facility Name: EMANUEL PROMPT CARE
  • Facility Address: 5 MEDICAL WAY
    SWAINSBORO, GA
    ZIP 30401
  • Facility Phone: 478 237-2238
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CEDRIC E. PORTER
  • NPI Number: 1487484820
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2313472
LAB Type Physician Office
Facility Name EMANUEL PROMPT CARE
Street 5 MEDICAL WAY
City SWAINSBORO
State GA
ZIP 30401
Phone 478 237-2238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director CEDRIC E. PORTER

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