11D0260979 CLIA NUMBER - EVANS MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 11D0260979
  • Facility Name: EVANS MEMORIAL HOSPITAL
  • Facility Address: 200 NORTH RIVER STREET
    CLAXTON, GA
    ZIP 30417
  • Facility Phone: 912 739-5110
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ALVIN B. BRYAN JR
  • NPI Number: 1104350057
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 11D0260979
LAB Type Hospital
Facility Name EVANS MEMORIAL HOSPITAL
Street 200 NORTH RIVER STREET
City CLAXTON
State GA
ZIP 30417
Phone 912 739-5110
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 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Hospital
Lab Director DR. ALVIN B. BRYAN JR

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