11D2090010 CLIA NUMBER - SAVANNAH PLASTIC SURGICENTER

Laboratory Demographics

  • CLIA Code: 11D2090010
  • Facility Name: SAVANNAH PLASTIC SURGICENTER
  • Facility Address: 7208 HODGSON MEMORIAL DR
    SAVANNAH, GA
    ZIP 31406
  • Facility Phone: 912 351-5050
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BARBARA I. DAVIES
  • NPI Number: 1679559835
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D2090010
LAB Type Ambulatory Surgery Center
Facility Name SAVANNAH PLASTIC SURGICENTER
Street 7208 HODGSON MEMORIAL DR
City SAVANNAH
State GA
ZIP 31406
Phone 912 351-5050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Ambulatory Surgery Center
Lab Director BARBARA I. DAVIES

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