11D0913414 CLIA NUMBER - SHARON R MOSES MD

Laboratory Demographics

  • CLIA Code: 11D0913414
  • Facility Name: SHARON R MOSES MD
  • Facility Address: 810 EAST 66TH STREET
    SAVANNAH, GA
    ZIP 31405
  • Facility Phone: 912 352-1167
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHARON R. MOSES
  • NPI Number: 1518966720
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D0913414
LAB Type Physician Office
Facility Name SHARON R MOSES MD
Street 810 EAST 66TH STREET
City SAVANNAH
State GA
ZIP 31405
Phone 912 352-1167
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 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director SHARON R. MOSES

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