11D1070146 CLIA NUMBER - BRIAN C GRINER, MD LLC

Laboratory Demographics

  • CLIA Code: 11D1070146
  • Facility Name: BRIAN C GRINER, MD LLC
  • Facility Address: 3301 N OAK STREET EXT
    VALDOSTA, GA
    ZIP 31605
  • Facility Phone: 229 242-6061
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN C. GRINER
  • NPI Number: 1366470650
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D1070146
LAB Type Physician Office
Facility Name BRIAN C GRINER, MD LLC
Street 3301 N OAK STREET EXT
City VALDOSTA
State GA
ZIP 31605
Phone 229 242-6061
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director DR. BRIAN C. GRINER

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This page was last updated on: 6/4/2025