11D0725183 CLIA NUMBER - STATESBORO OB/GYN SPECIALISTS

Laboratory Demographics

CLIA Number: 11D0725183

Facility Name: STATESBORO OB/GYN SPECIALISTS

Facility Address:
1523 FAIR ROAD
STATESBORO, GA
ZIP 30458
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Facility Phone Number: 912 871-2000

Facility Type: Independent

Certificate Type: Microscopy

NPI Number: 1841348521

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	11D0725183
LAB Type	Independent
Facility Name	STATESBORO OB/GYN SPECIALISTS
Street	1523 FAIR ROAD
City	STATESBORO
State	GA
ZIP	30458
Phone	912 871-2000
CertificateType	3
CertificateEffectiveDate	9/30/2023
CertificateExpirationDate	9/29/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024