11D1015084 CLIA NUMBER - EDDIE D THOMAS MD PC

Laboratory Demographics

  • CLIA Code: 11D1015084
  • Facility Name: EDDIE D THOMAS MD PC
  • Facility Address: 391 PEACHTREE STREET ATTN SABRINA
    JESUP, GA
    ZIP 31545
  • Facility Phone: 912 530-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDDIE D. THOMAS MD
  • NPI Number: 1730159591
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D1015084
LAB Type Physician Office
Facility Name EDDIE D THOMAS MD PC
Street 391 PEACHTREE STREET ATTN SABRINA
City JESUP
State GA
ZIP 31545
Phone 912 530-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Physician Office
Lab Director EDDIE D. THOMAS MD

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