11D0915493 CLIA NUMBER - MEMORIAL HEALTH - INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 11D0915493
  • Facility Name: MEMORIAL HEALTH - INTERNAL MEDICINE
  • Facility Address: 6602 WATERS AVE, BLDG A
    SAVANNAH, GA
    ZIP 31406
  • Facility Phone: 912 350-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS J. HOGAN
  • NPI Number: 1740357649
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0915493
LAB Type Physician Office
Facility Name MEMORIAL HEALTH - INTERNAL MEDICINE
Street 6602 WATERS AVE, BLDG A
City SAVANNAH
State GA
ZIP 31406
Phone 912 350-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Physician Office
Lab Director THOMAS J. HOGAN

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