11D1020817 CLIA NUMBER - DOUGLAS MARIRA MD PC

Laboratory Demographics

  • CLIA Code: 11D1020817
  • Facility Name: DOUGLAS MARIRA MD PC
  • Facility Address: 304 STEPHENSON AVENUE
    SAVANNAH, GA
    ZIP 31405
  • Facility Phone: 912 232-8031
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DOUGLAS MARIRA
  • NPI Number: 1912224247
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D1020817
LAB Type Physician Office
Facility Name DOUGLAS MARIRA MD PC
Street 304 STEPHENSON AVENUE
City SAVANNAH
State GA
ZIP 31405
Phone 912 232-8031
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type Physician Office
Lab Director DR. DOUGLAS MARIRA

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