11D0981764 CLIA NUMBER - CONCENTRA - SAVANNAH

Laboratory Demographics

  • CLIA Code: 11D0981764
  • Facility Name: CONCENTRA - SAVANNAH
  • Facility Address: 109 MINUS AVENUE, SUITE C10
    GARDEN CITY, GA
    ZIP 31408
  • Facility Phone: 912 966-5445
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHANIE E. JAMES
  • NPI Number: 1619166337
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0981764
LAB Type Physician Office
Facility Name CONCENTRA - SAVANNAH
Street 109 MINUS AVENUE, SUITE C10
City GARDEN CITY
State GA
ZIP 31408
Phone 912 966-5445
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Physician Office
Lab Director STEPHANIE E. JAMES

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