11D0903538 CLIA NUMBER - COSSIO PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D0903538
  • Facility Name: COSSIO PEDIATRICS
  • Facility Address: 334 STEPHENSON AVENUE
    SAVANNAH, GA
    ZIP 31405
  • Facility Phone: 912 354-3130
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT COSSIO
  • NPI Number: 1083878920
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D0903538
LAB Type Physician Office
Facility Name COSSIO PEDIATRICS
Street 334 STEPHENSON AVENUE
City SAVANNAH
State GA
ZIP 31405
Phone 912 354-3130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Physician Office
Lab Director ROBERT COSSIO

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