11D0963601 CLIA NUMBER - STANLEY D JONES MD PEDIATRIC CENTER,THE

Laboratory Demographics

  • CLIA Code: 11D0963601
  • Facility Name: STANLEY D JONES MD PEDIATRIC CENTER,THE
  • Facility Address: 391 PEACHTREE STREET
    JESUP, GA
    ZIP 31545
  • Facility Phone: 912 530-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STANLEY D. JONES MD
  • NPI Number: 1386614147
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0963601
LAB Type Physician Office
Facility Name STANLEY D JONES MD PEDIATRIC CENTER,THE
Street 391 PEACHTREE STREET
City JESUP
State GA
ZIP 31545
Phone 912 530-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Physician Office
Lab Director STANLEY D. JONES MD

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