11D0899921 CLIA NUMBER - SAVANNAH SQUARE

Laboratory Demographics

  • CLIA Code: 11D0899921
  • Facility Name: SAVANNAH SQUARE
  • Facility Address: 1 SAVANNAH SQUARE DR
    SAVANNAH, GA
    ZIP 31406
  • Facility Phone: 912 927-7550
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: VERA R. ALLEN
  • NPI Number: 1417943028
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0899921
LAB Type Assisted Living Facility
Facility Name SAVANNAH SQUARE
Street 1 SAVANNAH SQUARE DR
City SAVANNAH
State GA
ZIP 31406
Phone 912 927-7550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Assisted Living Facility
Lab Director VERA R. ALLEN

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