11D0995872 CLIA NUMBER - CANDLER INTERNAL MEDICINE PC

Laboratory Demographics

  • CLIA Code: 11D0995872
  • Facility Name: CANDLER INTERNAL MEDICINE PC
  • Facility Address: 106 BRIARWOOD ROAD
    STATESBORO, GA
    ZIP 30458
  • Facility Phone: 912 871-5000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RANI S. REDDY MD
  • NPI Number: 1689893653
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0995872
LAB Type Physician Office
Facility Name CANDLER INTERNAL MEDICINE PC
Street 106 BRIARWOOD ROAD
City STATESBORO
State GA
ZIP 30458
Phone 912 871-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Physician Office
Lab Director RANI S. REDDY MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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