11D2080982 CLIA NUMBER - EVANS IMAGING CENTER

Laboratory Demographics

  • CLIA Code: 11D2080982
  • Facility Name: EVANS IMAGING CENTER
  • Facility Address: 4350 TOWNE CENTER DRIVE
    EVANS, GA
    ZIP 30809
  • Facility Phone: 706 868-3940
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN G. ROGERS
  • NPI Number: 1144407750
  • Taxonomy: 261QR0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2080982
LAB Type Physician Office
Facility Name EVANS IMAGING CENTER
Street 4350 TOWNE CENTER DRIVE
City EVANS
State GA
ZIP 30809
Phone 706 868-3940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Physician Office
Lab Director STEVEN G. ROGERS

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