11D0260963 CLIA NUMBER - EMANUEL FAMILY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 11D0260963
  • Facility Name: EMANUEL FAMILY MEDICAL CENTER
  • Facility Address: 305 KITE ROAD
    SWAINSBORO, GA
    ZIP 30401
  • Facility Phone: 478 237-9928
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SYDNEY E. KOENIG
  • NPI Number: 1437577350
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0260963
LAB Type Physician Office
Facility Name EMANUEL FAMILY MEDICAL CENTER
Street 305 KITE ROAD
City SWAINSBORO
State GA
ZIP 30401
Phone 478 237-9928
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Physician Office
Lab Director SYDNEY E. KOENIG

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