11D2073792 CLIA NUMBER - MEMORIAL HEALTH-FAMILY CARE RICHMOND HILL

Laboratory Demographics

  • CLIA Code: 11D2073792
  • Facility Name: MEMORIAL HEALTH-FAMILY CARE RICHMOND HILL
  • Facility Address: 3780 US HIGHWAY 17
    RICHMOND HILL, GA
    ZIP 31324
  • Facility Phone: 912 350-7010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTINA N. JOHNSON
  • NPI Number: 1891861548
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2073792
LAB Type Physician Office
Facility Name MEMORIAL HEALTH-FAMILY CARE RICHMOND HILL
Street 3780 US HIGHWAY 17
City RICHMOND HILL
State GA
ZIP 31324
Phone 912 350-7010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director KRISTINA N. JOHNSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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