11D2054560 CLIA NUMBER - MCINTOSH CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 11D2054560
  • Facility Name: MCINTOSH CHIROPRACTIC
  • Facility Address: 208 FORT KING GEORGE DRIVE
    DARIEN, GA
    ZIP 31305
  • Facility Phone: 912 258-0756
  • Facility Type: Other - COLLECTION CLINIC
  • Facility Type: Waiver
  • Lab Director: DR. TANJA E. PAYNE
  • NPI Number: 1871039156
  • Taxonomy: 111NI0013X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 11D2054560
LAB Type Other - COLLECTION CLINIC
Facility Name MCINTOSH CHIROPRACTIC
Street 208 FORT KING GEORGE DRIVE
City DARIEN
State GA
ZIP 31305
Phone 912 258-0756
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Other - COLLECTION CLINIC
Lab Director DR. TANJA E. PAYNE

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