11D1051035 CLIA NUMBER - COASTAL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D1051035
  • Facility Name: COASTAL PEDIATRICS
  • Facility Address: 2 WHEELER STREET
    SAVANNAH, GA
    ZIP 31405
  • Facility Phone: 912 353-7744
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DUDLEY STONE
  • NPI Number: 1659418077
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D1051035
LAB Type Physician Office
Facility Name COASTAL PEDIATRICS
Street 2 WHEELER STREET
City SAVANNAH
State GA
ZIP 31405
Phone 912 353-7744
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 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Physician Office
Lab Director DUDLEY STONE

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