11D2328411 CLIA NUMBER - GASTRO SOUTH LLC

Laboratory Demographics

  • CLIA Code: 11D2328411
  • Facility Name: GASTRO SOUTH LLC
  • Facility Address: 249A SHERATON BOULEVARD
    MACON, GA
    ZIP 31210
  • Facility Phone: 478 241-2780
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: AARON J. LEIFER
  • NPI Number: 1588329098
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2328411
LAB Type Physician Office
Facility Name GASTRO SOUTH LLC
Street 249A SHERATON BOULEVARD
City MACON
State GA
ZIP 31210
Phone 478 241-2780
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Physician Office
Lab Director AARON J. LEIFER

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