11D1078163 CLIA NUMBER - BRAUN INTERNAL MEDICINE PC

Laboratory Demographics

  • CLIA Code: 11D1078163
  • Facility Name: BRAUN INTERNAL MEDICINE PC
  • Facility Address: 114 CANAL STREET, BLDG 500
    POOLER, GA
    ZIP 31322
  • Facility Phone: 912 450-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEIDI M. BRAUN
  • NPI Number: 1013187483
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1078163
LAB Type Physician Office
Facility Name BRAUN INTERNAL MEDICINE PC
Street 114 CANAL STREET, BLDG 500
City POOLER
State GA
ZIP 31322
Phone 912 450-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Physician Office
Lab Director HEIDI M. BRAUN

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