11D2006363 CLIA NUMBER - EAST GEORGIA HEALTHCARE CENTER

Home > CLIA Lookup > 11D2006363

Laboratory Demographics

CLIA Number: 11D2006363

Facility Name: EAST GEORGIA HEALTHCARE CENTER

Facility Address:
1570 BRAMPTON AVENUE
STATESBORO, GA
ZIP 30458
Get Directions

Facility Phone Number: 912 764-9196

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1821126400

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2006363
LAB Type	Federally Qualified Health Center
Facility Name	EAST GEORGIA HEALTHCARE CENTER
Street	1570 BRAMPTON AVENUE
City	STATESBORO
State	GA
ZIP	30458
Phone	912 764-9196
CertificateType	3
CertificateEffectiveDate	4/20/2024
CertificateExpirationDate	4/19/2026
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024