11D2074713 CLIA NUMBER - ACCORDIA HEALTHCARE, LLC

Laboratory Demographics

CLIA Number: 11D2074713

Facility Name: ACCORDIA HEALTHCARE, LLC

Facility Address:
3193 EAST FIRST ST
VIDALIA, GA
ZIP 30474
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Facility Phone Number: 912 537-8588

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1962826511

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 11D2074713
LAB Type Physician Office
Facility Name ACCORDIA HEALTHCARE, LLC
Street 3193 EAST FIRST ST
City VIDALIA
State GA
ZIP 30474
Phone 912 537-8588
CertificateType 2
CertificateEffectiveDate 5/6/2023
CertificateExpirationDate 5/5/2025
FacilityType Compliance

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This page was last updated on: 4/23/2024