11D0955349 CLIA NUMBER - SAMUEL B COBARRUBIAS MD PC

Laboratory Demographics

  • CLIA Code: 11D0955349
  • Facility Name: SAMUEL B COBARRUBIAS MD PC
  • Facility Address: 180 CARSWELL STREET
    HOMERVILLE, GA
    ZIP 31634
  • Facility Phone: 912 487-1654
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL COBARRUBIAS
  • NPI Number: 1801855986
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0955349
LAB Type Physician Office
Facility Name SAMUEL B COBARRUBIAS MD PC
Street 180 CARSWELL STREET
City HOMERVILLE
State GA
ZIP 31634
Phone 912 487-1654
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Physician Office
Lab Director SAMUEL COBARRUBIAS

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