11D0961655 CLIA NUMBER - DAVID H CHEATHAM MD

Laboratory Demographics

  • CLIA Code: 11D0961655
  • Facility Name: DAVID H CHEATHAM MD
  • Facility Address: 801 BEACON STREET
    WAYCROSS, GA
    ZIP 31501
  • Facility Phone: (912) 285-2440
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID H. CHEATHAM
  • NPI Number: 1518969153
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0961655
LAB Type Physician Office
Facility Name DAVID H CHEATHAM MD
Street 801 BEACON STREET
City WAYCROSS
State GA
ZIP 31501
Phone 9122852440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Physician Office
Lab Director DAVID H. CHEATHAM

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This page was last updated on: 5/18/2026