11D1056330 CLIA NUMBER - FRESENIUS VASCULAR CENTER

Laboratory Demographics

  • CLIA Code: 11D1056330
  • Facility Name: FRESENIUS VASCULAR CENTER
  • Facility Address: 630 13TH STREET
    AUGUSTA, GA
    ZIP 30901
  • Facility Phone: 706 724-2500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM BRUCE TANNEHILL
  • NPI Number: 1134412331
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 11D1056330
LAB Type Physician Office
Facility Name FRESENIUS VASCULAR CENTER
Street 630 13TH STREET
City AUGUSTA
State GA
ZIP 30901
Phone 706 724-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Physician Office
Lab Director WILLIAM BRUCE TANNEHILL

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