11D0981803 CLIA NUMBER - SAMRAJ MEDICAL CLINIC PC

Laboratory Demographics

  • CLIA Code: 11D0981803
  • Facility Name: SAMRAJ MEDICAL CLINIC PC
  • Facility Address: 2000 12TH AVENUE
    COLUMBUS, GA
    ZIP 31901
  • Facility Phone: 706 653-2226
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA S. SAMRAJ MD
  • NPI Number: 1780863324
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0981803
LAB Type Physician Office
Facility Name SAMRAJ MEDICAL CLINIC PC
Street 2000 12TH AVENUE
City COLUMBUS
State GA
ZIP 31901
Phone 706 653-2226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Physician Office
Lab Director JOSHUA S. SAMRAJ MD

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This page was last updated on: 6/4/2025