11D2009598 CLIA NUMBER - WAYCROSS VA CLINIC

Laboratory Demographics

  • CLIA Code: 11D2009598
  • Facility Name: WAYCROSS VA CLINIC
  • Facility Address: 515B CITY BOULEVARD
    WAYCROSS, GA
    ZIP 31501
  • Facility Phone: 202 111-1111
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: ROBERT W. ALLAN
  • NPI Number: 1679520753
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D2009598
LAB Type Community Clinic
Facility Name WAYCROSS VA CLINIC
Street 515B CITY BOULEVARD
City WAYCROSS
State GA
ZIP 31501
Phone 202 111-1111
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/8/2010
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director ROBERT W. ALLAN

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