11D0265194 CLIA NUMBER - ASCENSION ST VINCENT COASTAL CARDOLOGY

Laboratory Demographics

  • CLIA Code: 11D0265194
  • Facility Name: ASCENSION ST VINCENT COASTAL CARDOLOGY
  • Facility Address: 3215 SHRINE ROAD, SUITE 4
    BRUNSWICK, GA
    ZIP 31520
  • Facility Phone: 912 264-0760
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MICHAEL H. BUTLER
  • NPI Number: 1528262540
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D0265194
LAB Type Physician Office
Facility Name ASCENSION ST VINCENT COASTAL CARDOLOGY
Street 3215 SHRINE ROAD, SUITE 4
City BRUNSWICK
State GA
ZIP 31520
Phone 912 264-0760
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 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type Physician Office
Lab Director DR. MICHAEL H. BUTLER

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