CLIA Code Details

Clinical Laboratory Code : 11d2331834

FP-PEACHTREE IMMEDIATE CARE (AGT) (PHYSICIAN OFFICE)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 11D2331834
Clinical laboratory number
Lab Name FP-PEACHTREE IMMEDIATE CARE (AGT)
Laboratory Name
Lab Type Physician Office
Laboratory Type
Certificate Type Waiver
Clinical laboratory certificate type

Contacts

Phone 706-524-9164
Laboratory telephone number
Fax N/S (NOT SPECIFIED)
Fax number of the provider.

Facility Location

Street Address 1102 TRUST AVENUE, SUITE 200
Primary location adress line
City AUGUSTA
Primary location city name
State GA
Primary location state name
Zip 30909
Primary location postal code

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