11D0704382 CLIA NUMBER - EMANUEL MEDICAL CENTER ABG LABORATORY

Laboratory Demographics

  • CLIA Code: 11D0704382
  • Facility Name: EMANUEL MEDICAL CENTER ABG LABORATORY
  • Facility Address: 117 KITE ROAD
    SWAINSBORO, GA
    ZIP 30401
  • Facility Phone: 478 289-1319
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. VIJITHA PRASAD
  • NPI Number: 1124650239
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D0704382
LAB Type Hospital
Facility Name EMANUEL MEDICAL CENTER ABG LABORATORY
Street 117 KITE ROAD
City SWAINSBORO
State GA
ZIP 30401
Phone 478 289-1319
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Hospital
Lab Director DR. VIJITHA PRASAD

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