11D1035000 CLIA NUMBER - ALBANY STATE UNIVERSITY STUDENT HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 11D1035000
  • Facility Name: ALBANY STATE UNIVERSITY STUDENT HEALTH SERVICES
  • Facility Address: 504 COLLEGE DRIVE
    ALBANY, GA
    ZIP 31705
  • Facility Phone: 229 430-4766
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DR. VICKI PHILLIPS
  • NPI Number: 1598284408
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D1035000
LAB Type School/Student Health Service
Facility Name ALBANY STATE UNIVERSITY STUDENT HEALTH SERVICES
Street 504 COLLEGE DRIVE
City ALBANY
State GA
ZIP 31705
Phone 229 430-4766
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type School/Student Health Service
Lab Director DR. VICKI PHILLIPS

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