11D1069613 CLIA NUMBER - PEDIATRIC ASSOCIATES OF SAVANNAH PC

Laboratory Demographics

  • CLIA Code: 11D1069613
  • Facility Name: PEDIATRIC ASSOCIATES OF SAVANNAH PC
  • Facility Address: 1001 MEMORIAL LANE
    SAVANNAH, GA
    ZIP 31410
  • Facility Phone: 912 898-9800
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MICHAEL DEMAURO
  • NPI Number: 1922693613
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 11D1069613
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES OF SAVANNAH PC
Street 1001 MEMORIAL LANE
City SAVANNAH
State GA
ZIP 31410
Phone 912 898-9800
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 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director MICHAEL DEMAURO

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