11D2028836 CLIA NUMBER - SCREVEN PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 11D2028836
  • Facility Name: SCREVEN PRIMARY CARE
  • Facility Address: 213 MIMS ROAD
    SYLVANIA, GA
    ZIP 30467
  • Facility Phone: 912 564-5290
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHERMA PETER
  • NPI Number: 1942803689
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2028836
LAB Type Physician Office
Facility Name SCREVEN PRIMARY CARE
Street 213 MIMS ROAD
City SYLVANIA
State GA
ZIP 30467
Phone 912 564-5290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Physician Office
Lab Director SHERMA PETER

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