11D1095022 CLIA NUMBER - PHOEBE GASTROENTEROLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 11D1095022
  • Facility Name: PHOEBE GASTROENTEROLOGY ASSOCIATES
  • Facility Address: 2740 RAY KNIGHT WAY, SUITE 100
    ALBANY, GA
    ZIP 31707
  • Facility Phone: 229 312-0698
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRA G. KNEPP
  • NPI Number: 1659627131
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D1095022
LAB Type Physician Office
Facility Name PHOEBE GASTROENTEROLOGY ASSOCIATES
Street 2740 RAY KNIGHT WAY, SUITE 100
City ALBANY
State GA
ZIP 31707
Phone 229 312-0698
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Physician Office
Lab Director IRA G. KNEPP

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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