11D0965700 CLIA NUMBER - NITIN R DESAI MD PC

Laboratory Demographics

  • CLIA Code: 11D0965700
  • Facility Name: NITIN R DESAI MD PC
  • Facility Address: 2410 DOUBLE CHURCHES ROAD SUITE A
    COLUMBUS, GA
    ZIP 31909
  • Facility Phone: (706) 576-4600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NITIN R. DESAI
  • NPI Number: 1497926430
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0965700
LAB Type Physician Office
Facility Name NITIN R DESAI MD PC
Street 2410 DOUBLE CHURCHES ROAD SUITE A
City COLUMBUS
State GA
ZIP 31909
Phone 7065764600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Physician Office
Lab Director NITIN R. DESAI

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