11D0950497 CLIA NUMBER - CANDLER INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 11D0950497
  • Facility Name: CANDLER INTERNAL MEDICINE
  • Facility Address: 380 CEDAR STREET
    METTER, GA
    ZIP 30439
  • Facility Phone: 912 685-3992
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RANI S. REDDY
  • NPI Number: 1043608474
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0950497
LAB Type Physician Office
Facility Name CANDLER INTERNAL MEDICINE
Street 380 CEDAR STREET
City METTER
State GA
ZIP 30439
Phone 912 685-3992
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Physician Office
Lab Director RANI S. REDDY

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