11D0264954 CLIA NUMBER - SAVANNAH DIAGNOSTIC ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 11D0264954
  • Facility Name: SAVANNAH DIAGNOSTIC ASSOCIATES PC
  • Facility Address: 12345 MERCY BLVD
    SAVANNAH, GA
    ZIP 31419
  • Facility Phone: 912 927-3046
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN D. NORTHUP
  • NPI Number: 1548267438
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D0264954
LAB Type Physician Office
Facility Name SAVANNAH DIAGNOSTIC ASSOCIATES PC
Street 12345 MERCY BLVD
City SAVANNAH
State GA
ZIP 31419
Phone 912 927-3046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director JOHN D. NORTHUP

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