11D0885492 CLIA NUMBER - SAVANNAH OB/GYN, PC

Laboratory Demographics

  • CLIA Code: 11D0885492
  • Facility Name: SAVANNAH OB/GYN, PC
  • Facility Address: 5353 REYNOLDS ST SUITE 300
    SAVANNAH, GA
    ZIP 31405
  • Facility Phone: 912 355-6048
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Microscopy
  • Lab Director: GLEN L. SCARBROUGH
  • NPI Number: 1407020787
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0885492
LAB Type Ancillary Testing Site in Health Care Center
Facility Name SAVANNAH OB/GYN, PC
Street 5353 REYNOLDS ST SUITE 300
City SAVANNAH
State GA
ZIP 31405
Phone 912 355-6048
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 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director GLEN L. SCARBROUGH

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