11D0265287 CLIA NUMBER - CRH UROLOGY CLINIC

Laboratory Demographics

  • CLIA Code: 11D0265287
  • Facility Name: CRH UROLOGY CLINIC
  • Facility Address: 2007 OCILLA ROAD
    DOUGLAS, GA
    ZIP 31533
  • Facility Phone: 912 384-0162
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHALLORI REDDY
  • NPI Number: 1306359781
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 11D0265287
LAB Type Physician Office
Facility Name CRH UROLOGY CLINIC
Street 2007 OCILLA ROAD
City DOUGLAS
State GA
ZIP 31533
Phone 912 384-0162
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Physician Office
Lab Director CHALLORI REDDY

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