11D2026293 CLIA NUMBER - CRH INDUSTRIAL MEDICINE

Laboratory Demographics

  • CLIA Code: 11D2026293
  • Facility Name: CRH INDUSTRIAL MEDICINE
  • Facility Address: 205 SHIRLEY AVE
    DOUGLAS, GA
    ZIP 31533
  • Facility Phone: 912 260-5400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DEBRA LISTER
  • NPI Number: 1700137684
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 11D2026293
LAB Type Physician Office
Facility Name CRH INDUSTRIAL MEDICINE
Street 205 SHIRLEY AVE
City DOUGLAS
State GA
ZIP 31533
Phone 912 260-5400
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Physician Office
Lab Director DR. DEBRA LISTER

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