11D0265294 CLIA NUMBER - CRH SURGICAL GROUP

Laboratory Demographics

  • CLIA Code: 11D0265294
  • Facility Name: CRH SURGICAL GROUP
  • Facility Address: 100 DOCTORS DRIVE, SUITE C
    DOUGLAS, GA
    ZIP 31533
  • Facility Phone: 912 384-5832
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES A. BAGWELL
  • NPI Number: 1942674684
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D0265294
LAB Type Physician Office
Facility Name CRH SURGICAL GROUP
Street 100 DOCTORS DRIVE, SUITE C
City DOUGLAS
State GA
ZIP 31533
Phone 912 384-5832
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Physician Office
Lab Director CHARLES A. BAGWELL

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