11D0982961 CLIA NUMBER - EAST GEORGIA DIAGNOSTIC SERVICES, INC

Laboratory Demographics

  • CLIA Code: 11D0982961
  • Facility Name: EAST GEORGIA DIAGNOSTIC SERVICES, INC
  • Facility Address: 333 SOUTH WALNUT STREET
    STATESBORO, GA
    ZIP 30458
  • Facility Phone: 912 489-2400
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. THOMAS D. CARICO
  • NPI Number: 1497702088
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D0982961
LAB Type Independent
Facility Name EAST GEORGIA DIAGNOSTIC SERVICES, INC
Street 333 SOUTH WALNUT STREET
City STATESBORO
State GA
ZIP 30458
Phone 912 489-2400
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Independent
Lab Director DR. THOMAS D. CARICO

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