11D1039414 CLIA NUMBER - MEMORIAL HEALTH - INTERNAL MEDICINE SAVANNAH PRIMARY CARE ASSOC

Laboratory Demographics

  • CLIA Code: 11D1039414
  • Facility Name: MEMORIAL HEALTH - INTERNAL MEDICINE SAVANNAH PRIMARY CARE ASSOC
  • Facility Address: 241 SILVERWOOD COMMERCIAL DRIVE
    RINCON, GA
    ZIP 31326
  • Facility Phone: 912 826-8800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SOPHIA BRINKLEY
  • NPI Number: 1154480614
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1039414
LAB Type Physician Office
Facility Name MEMORIAL HEALTH - INTERNAL MEDICINE SAVANNAH PRIMARY CARE ASSOC
Street 241 SILVERWOOD COMMERCIAL DRIVE
City RINCON
State GA
ZIP 31326
Phone 912 826-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director SOPHIA BRINKLEY

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