11D0918506 CLIA NUMBER - WILLINGWAY HOSPITAL

Laboratory Demographics

  • CLIA Code: 11D0918506
  • Facility Name: WILLINGWAY HOSPITAL
  • Facility Address: 311 JONES MILL ROAD
    STATESBORO, GA
    ZIP 30458
  • Facility Phone: 912 489-7200
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: VANCE RAHAM
  • NPI Number: 1174682546
  • Taxonomy: 284300000X - Special Hospital

Map and Directions

Get Directions

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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Hospital
Lab Director VANCE RAHAM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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