11D0883487 CLIA NUMBER - MEMORIAL HEALTH - INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 11D0883487
  • Facility Name: MEMORIAL HEALTH - INTERNAL MEDICINE
  • Facility Address: 1001 MEMORIAL LANE
    SAVANNAH, GA
    ZIP 31410
  • Facility Phone: (912) 897-3766
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAMAL MOUHIUDDIN
  • NPI Number: 1588723266
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0883487
LAB Type Physician Office
Facility Name MEMORIAL HEALTH - INTERNAL MEDICINE
Street 1001 MEMORIAL LANE
City SAVANNAH
State GA
ZIP 31410
Phone 9128973766
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Physician Office
Lab Director KAMAL MOUHIUDDIN

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This page was last updated on: 5/18/2026