11D0869347 CLIA NUMBER - WILLARD A SNYDER JR MD

Laboratory Demographics

  • CLIA Code: 11D0869347
  • Facility Name: WILLARD A SNYDER JR MD
  • Facility Address: 2314 STARLING ST
    BRUNSWICK, GA
    ZIP 31520
  • Facility Phone: 912 265-9900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLARD A. SNYDER JR MD
  • NPI Number: 1538169115
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0869347
LAB Type Physician Office
Facility Name WILLARD A SNYDER JR MD
Street 2314 STARLING ST
City BRUNSWICK
State GA
ZIP 31520
Phone 912 265-9900
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director WILLARD A. SNYDER JR MD

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