11D1027201 CLIA NUMBER - SAVANNAH PELVIC RECONSTRUCTIVE SURGERY

Laboratory Demographics

  • CLIA Code: 11D1027201
  • Facility Name: SAVANNAH PELVIC RECONSTRUCTIVE SURGERY
  • Facility Address: 5356 REYNOLDS STREET STE 301
    SAVANNAH, GA
    ZIP 31405
  • Facility Phone: 912 303-0891
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JOSEPH T. STUBBS III
  • NPI Number: 1952454167
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D1027201
LAB Type Physician Office
Facility Name SAVANNAH PELVIC RECONSTRUCTIVE SURGERY
Street 5356 REYNOLDS STREET STE 301
City SAVANNAH
State GA
ZIP 31405
Phone 912 303-0891
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 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director DR. JOSEPH T. STUBBS III

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