11D0919022 CLIA NUMBER - PHOEBE EAST CONVENIENT CARE

Laboratory Demographics

  • CLIA Code: 11D0919022
  • Facility Name: PHOEBE EAST CONVENIENT CARE
  • Facility Address: 2410 SYLVESTER ROAD ATTN TOSHA WATTS
    ALBANY, GA
    ZIP 31705
  • Facility Phone: 229 312-9203
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MANISHKUMAR R. JOSHI
  • NPI Number: 1316060585
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0919022
LAB Type Community Clinic
Facility Name PHOEBE EAST CONVENIENT CARE
Street 2410 SYLVESTER ROAD ATTN TOSHA WATTS
City ALBANY
State GA
ZIP 31705
Phone 229 312-9203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Community Clinic
Lab Director MANISHKUMAR R. JOSHI

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