11D2031124 CLIA NUMBER - MEMORIAL SATILLA SPECIALISTS, LLC

Laboratory Demographics

  • CLIA Code: 11D2031124
  • Facility Name: MEMORIAL SATILLA SPECIALISTS, LLC
  • Facility Address: 505 SOUTH CITY BLVD
    WAYCROSS, GA
    ZIP 31501
  • Facility Phone: 912 490-2229
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. YOLANDA M. BORDER
  • NPI Number: 1295266955
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 11D2031124
LAB Type Physician Office
Facility Name MEMORIAL SATILLA SPECIALISTS, LLC
Street 505 SOUTH CITY BLVD
City WAYCROSS
State GA
ZIP 31501
Phone 912 490-2229
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Physician Office
Lab Director DR. YOLANDA M. BORDER

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