11D1045977 CLIA NUMBER - WILMINGTON HEALTH CENTER, INC

Laboratory Demographics

CLIA Number: 11D1045977

Facility Name: WILMINGTON HEALTH CENTER, INC

Facility Address:
37 WEST FAIRMONT AVE UNIT 317
SAVANNAH, GA
ZIP 31406
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Facility Phone Number: 912 925-8266

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1760549265

Taxonomy: 261QP3300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D1045977
LAB Type	Physician Office
Facility Name	WILMINGTON HEALTH CENTER, INC
Street	37 WEST FAIRMONT AVE UNIT 317
City	SAVANNAH
State	GA
ZIP	31406
Phone	912 925-8266
CertificateType	4
CertificateEffectiveDate	9/27/2023
CertificateExpirationDate	9/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024