11D1043414 CLIA NUMBER - SOUTHEASTERN CARDIOLOGY ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 11D1043414
  • Facility Name: SOUTHEASTERN CARDIOLOGY ASSOCIATES PC
  • Facility Address: 2121 WARM SPRINGS ROAD
    COLUMBUS, GA
    ZIP 31904
  • Facility Phone: 706 243-4500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHANE B. DARRAH
  • NPI Number: 1376527077
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1043414
LAB Type Physician Office
Facility Name SOUTHEASTERN CARDIOLOGY ASSOCIATES PC
Street 2121 WARM SPRINGS ROAD
City COLUMBUS
State GA
ZIP 31904
Phone 706 243-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Physician Office
Lab Director SHANE B. DARRAH

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