11D2323712 CLIA NUMBER - MEDICAL ASSOCIATES PLUS PODIATRY

Laboratory Demographics

  • CLIA Code: 11D2323712
  • Facility Name: MEDICAL ASSOCIATES PLUS PODIATRY
  • Facility Address: 544 W HILL STREET
    THOMSON, GA
    ZIP 30824
  • Facility Phone: 706 595-8787
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE HAVRILLA
  • NPI Number: 1639901176
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2323712
LAB Type Physician Office
Facility Name MEDICAL ASSOCIATES PLUS PODIATRY
Street 544 W HILL STREET
City THOMSON
State GA
ZIP 30824
Phone 706 595-8787
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Physician Office
Lab Director GEORGE HAVRILLA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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