11D0938048 CLIA NUMBER - CHARLES M PUGH JR MD

Laboratory Demographics

  • CLIA Code: 11D0938048
  • Facility Name: CHARLES M PUGH JR MD
  • Facility Address: 5210 PAULSEN STREET
    SAVANNAH, GA
    ZIP 31405
  • Facility Phone: 912 354-4441
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHARLES M. PUGH JR
  • NPI Number: 1619061579
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0938048
LAB Type Physician Office
Facility Name CHARLES M PUGH JR MD
Street 5210 PAULSEN STREET
City SAVANNAH
State GA
ZIP 31405
Phone 912 354-4441
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 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Physician Office
Lab Director CHARLES M. PUGH JR

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