11D1089837 CLIA NUMBER - SAVANNAH RIVER DERMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 11D1089837
  • Facility Name: SAVANNAH RIVER DERMATOLOGY LLC
  • Facility Address: 575 FURYS FERRY ROAD
    MARTINEZ, GA
    ZIP 30907
  • Facility Phone: 706 691-7079
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ALLISON R. PAINE
  • NPI Number: 1700038924
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D1089837
LAB Type Physician Office
Facility Name SAVANNAH RIVER DERMATOLOGY LLC
Street 575 FURYS FERRY ROAD
City MARTINEZ
State GA
ZIP 30907
Phone 706 691-7079
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Physician Office
Lab Director ALLISON R. PAINE

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