11D2061015 CLIA NUMBER - SAVANNAH RIVER PLASTIC SURGERY, PC

Laboratory Demographics

  • CLIA Code: 11D2061015
  • Facility Name: SAVANNAH RIVER PLASTIC SURGERY, PC
  • Facility Address: 820 ST SEBASTIAN WAY SUITE 1A
    AUGUSTA, GA
    ZIP 30901
  • Facility Phone: 706 651-8400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BILLY P. LYNN
  • NPI Number: 1801133699
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D2061015
LAB Type Physician Office
Facility Name SAVANNAH RIVER PLASTIC SURGERY, PC
Street 820 ST SEBASTIAN WAY SUITE 1A
City AUGUSTA
State GA
ZIP 30901
Phone 706 651-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Physician Office
Lab Director DR. BILLY P. LYNN

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