11D0903770 CLIA NUMBER - ROLAND S SUMMERS MD LLC

Laboratory Demographics

  • CLIA Code: 11D0903770
  • Facility Name: ROLAND S SUMMERS MD LLC
  • Facility Address: 340 EISENHOWER DR STE 510 CENTRAL PARK
    SAVANNAH, GA
    ZIP 31406
  • Facility Phone: 912 354-5734
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROLAND S. SUMMERS
  • NPI Number: 1952367435
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D0903770
LAB Type Physician Office
Facility Name ROLAND S SUMMERS MD LLC
Street 340 EISENHOWER DR STE 510 CENTRAL PARK
City SAVANNAH
State GA
ZIP 31406
Phone 912 354-5734
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 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Physician Office
Lab Director ROLAND S. SUMMERS

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