11D1060308 CLIA NUMBER - SOUTHEAST GA PHYSICIAN ASSOCIATES - ENDOCRINOLOGY AND DIABETES

Laboratory Demographics

  • CLIA Code: 11D1060308
  • Facility Name: SOUTHEAST GA PHYSICIAN ASSOCIATES - ENDOCRINOLOGY AND DIABETES
  • Facility Address: 3025 SHRINE ROAD, SUITE 150
    BRUNSWICK, GA
    ZIP 31520
  • Facility Phone: (912) 466-5601
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHENON BADRE

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CLIA Record

Field Name Field Value
CLIA Number 11D1060308
LAB Type Physician Office
Facility Name SOUTHEAST GA PHYSICIAN ASSOCIATES - ENDOCRINOLOGY AND DIABETES
Street 3025 SHRINE ROAD, SUITE 150
City BRUNSWICK
State GA
ZIP 31520
Phone 9124665601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Physician Office
Lab Director SHENON BADRE

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This page was last updated on: 5/18/2026