11D0264715 CLIA NUMBER - SAVANNAH OB/GYN PC

Laboratory Demographics

  • CLIA Code: 11D0264715
  • Facility Name: SAVANNAH OB/GYN PC
  • Facility Address: 5356 REYNOLDS STREET, SUITE 410
    SAVANNAH, GA
    ZIP 31405
  • Facility Phone: 912 355-8136
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALAN EUGENE SMITH
  • NPI Number: 1467467845
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D0264715
LAB Type Physician Office
Facility Name SAVANNAH OB/GYN PC
Street 5356 REYNOLDS STREET, SUITE 410
City SAVANNAH
State GA
ZIP 31405
Phone 912 355-8136
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ALAN EUGENE SMITH

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