11D0941435 CLIA NUMBER - CRH WOMENS CENTER

Laboratory Demographics

  • CLIA Code: 11D0941435
  • Facility Name: CRH WOMENS CENTER
  • Facility Address: 2010 OCILLA ROAD
    DOUGLAS, GA
    ZIP 31533
  • Facility Phone: (912) 384-2500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRADLEY G. GOLDBERG MD
  • NPI Number: 1174058721
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0941435
LAB Type Physician Office
Facility Name CRH WOMENS CENTER
Street 2010 OCILLA ROAD
City DOUGLAS
State GA
ZIP 31533
Phone 9123842500
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 2/25/2026
Certificate Expiration Date 2/24/2028
Facility Type Physician Office
Lab Director BRADLEY G. GOLDBERG MD

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: 5/18/2026