11D1039076 CLIA NUMBER - SAVANNAH CBOC

Laboratory Demographics

  • CLIA Code: 11D1039076
  • Facility Name: SAVANNAH CBOC
  • Facility Address: 1170 SHAWNEE STREET
    SAVANNAH, GA
    ZIP 31419
  • Facility Phone: 843 889-7536
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: AVTAR SINGH
  • NPI Number: 1265957823
  • Taxonomy: 103TC2200X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 11D1039076
LAB Type Community Clinic
Facility Name SAVANNAH CBOC
Street 1170 SHAWNEE STREET
City SAVANNAH
State GA
ZIP 31419
Phone 843 889-7536
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/4/2005
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director AVTAR SINGH

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