11D2038282 CLIA NUMBER - DOUGLAS VASCULAR CENTER

Laboratory Demographics

  • CLIA Code: 11D2038282
  • Facility Name: DOUGLAS VASCULAR CENTER
  • Facility Address: 326 SHIRLEY AVENUE
    DOUGLAS, GA
    ZIP 31533
  • Facility Phone: 912 384-0322
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MR. DARRELL WOODS
  • NPI Number: 1619244555
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2038282
LAB Type Ancillary Testing Site in Health Care Center
Facility Name DOUGLAS VASCULAR CENTER
Street 326 SHIRLEY AVENUE
City DOUGLAS
State GA
ZIP 31533
Phone 912 384-0322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MR. DARRELL WOODS

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