11D2061028 CLIA NUMBER - CENTER FOR PODIATRY CARE DBA AIYAN DIABETES CENTER

Laboratory Demographics

  • CLIA Code: 11D2061028
  • Facility Name: CENTER FOR PODIATRY CARE DBA AIYAN DIABETES CENTER
  • Facility Address: 462 FURYS FERRY ROAD
    AUGUSTA, GA
    ZIP 30907
  • Facility Phone: 706 868-0319
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. IHAB AZAB
  • NPI Number: 1174695357
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 11D2061028
LAB Type Physician Office
Facility Name CENTER FOR PODIATRY CARE DBA AIYAN DIABETES CENTER
Street 462 FURYS FERRY ROAD
City AUGUSTA
State GA
ZIP 30907
Phone 706 868-0319
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Physician Office
Lab Director DR. IHAB AZAB

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