11D0899919 CLIA NUMBER - EFFINGHAM HOSPITAL INC DBA EFFINGHAM FAMILY MEDICINE AT GOSHEN

Laboratory Demographics

  • CLIA Code: 11D0899919
  • Facility Name: EFFINGHAM HOSPITAL INC DBA EFFINGHAM FAMILY MEDICINE AT GOSHEN
  • Facility Address: 100 GOSHEN ROAD
    RINCON, GA
    ZIP 31326
  • Facility Phone: 912 826-6000
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: STEPHANIE T. REESE
  • NPI Number: 1811020407
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0899919
LAB Type Rural Health Clinic
Facility Name EFFINGHAM HOSPITAL INC DBA EFFINGHAM FAMILY MEDICINE AT GOSHEN
Street 100 GOSHEN ROAD
City RINCON
State GA
ZIP 31326
Phone 912 826-6000
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 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Rural Health Clinic
Lab Director STEPHANIE T. REESE

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