11D2062756 CLIA NUMBER - SOUTHEASTERN ORTHOPAEDICS

Laboratory Demographics

  • CLIA Code: 11D2062756
  • Facility Name: SOUTHEASTERN ORTHOPAEDICS
  • Facility Address: 110 SHIRLEY AVENUE
    DOUGLAS, GA
    ZIP 31533
  • Facility Phone: 912 383-9789
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES W. BARBER
  • NPI Number: 1184053043
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D2062756
LAB Type Physician Office
Facility Name SOUTHEASTERN ORTHOPAEDICS
Street 110 SHIRLEY AVENUE
City DOUGLAS
State GA
ZIP 31533
Phone 912 383-9789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Physician Office
Lab Director DR. JAMES W. BARBER

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