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11D2019414 CLIA NUMBER - EFFINGHAM HOSPITAL INC DBA EFFINGHAM FAMILY MEDICINE AT 21

Laboratory Demographics

CLIA Number: 11D2019414

Facility Name: EFFINGHAM HOSPITAL INC DBA EFFINGHAM FAMILY MEDICINE AT 21

Facility Address:
1451 GA HIGHWAY SOUTH, SUITE H
SPRINGFIELD, GA
ZIP 31329
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Facility Phone Number: 912 754-1035

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1245577048

Taxonomy: 207VF0040X - Obstetrics & Gynecology
An obstetrics & gynecology physician subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

CLIA Record

Field Name Field Value
CLIA Number 11D2019414
LAB Type Physician Office
Facility Name EFFINGHAM HOSPITAL INC DBA EFFINGHAM FAMILY MEDICINE AT 21
Street 1451 GA HIGHWAY SOUTH, SUITE H
City SPRINGFIELD
State GA
ZIP 31329
Phone 912 754-1035
CertificateType 3
CertificateEffectiveDate 1/31/2023
CertificateExpirationDate 1/30/2025
FacilityType PPMP

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