11D0983558 CLIA NUMBER - PHOEBE PUTNEY HOSPITAL DIABETES CARE CENTER

Laboratory Demographics

  • CLIA Code: 11D0983558
  • Facility Name: PHOEBE PUTNEY HOSPITAL DIABETES CARE CENTER
  • Facility Address: 500 THIRD AVENUE
    ALBANY, GA
    ZIP 31701
  • Facility Phone: 229 312-1392
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: NILOFER AHSAN MD
  • NPI Number: 1699773077
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D0983558
LAB Type Other
Facility Name PHOEBE PUTNEY HOSPITAL DIABETES CARE CENTER
Street 500 THIRD AVENUE
City ALBANY
State GA
ZIP 31701
Phone 229 312-1392
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Other
Lab Director NILOFER AHSAN MD

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