11D2322519 CLIA NUMBER - PREFERRED MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 11D2322519
  • Facility Name: PREFERRED MEDICAL GROUP
  • Facility Address: 101 ENTERPRISE CT
    COLUMBUS, GA
    ZIP 31904
  • Facility Phone: 334 664-0463
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHANDRA RITU
  • NPI Number: 1568748242
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2322519
LAB Type Physician Office
Facility Name PREFERRED MEDICAL GROUP
Street 101 ENTERPRISE CT
City COLUMBUS
State GA
ZIP 31904
Phone 334 664-0463
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Physician Office
Lab Director CHANDRA RITU

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