11D0918506 CLIA NUMBER - WILLINGWAY HOSPITAL

Laboratory Demographics

CLIA Number: 11D0918506

Facility Name: WILLINGWAY HOSPITAL

Facility Address:
311 JONES MILL ROAD
STATESBORO, GA
ZIP 30458
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Facility Phone Number: 912 489-7200

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1174682546

Taxonomy: 284300000X - Special Hospital
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.

CLIA Record

Field Name	Field Value
CLIA Number	11D0918506
LAB Type	Hospital
Facility Name	WILLINGWAY HOSPITAL
Street	311 JONES MILL ROAD
City	STATESBORO
State	GA
ZIP	30458
Phone	912 489-7200
CertificateType	4
CertificateEffectiveDate	8/12/2022
CertificateExpirationDate	8/11/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024