11D2105013 CLIA NUMBER - SPINE CENTER SAVANNAH

Laboratory Demographics

  • CLIA Code: 11D2105013
  • Facility Name: SPINE CENTER SAVANNAH
  • Facility Address: 310 EISENHOWER DRIVE, BLDG 12, SUITE C
    SAVANNAH, GA
    ZIP 31406
  • Facility Phone: 912 417-3050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CASEY LEONG
  • NPI Number: 1902357601
  • Taxonomy: 2083X0100X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2105013
LAB Type Physician Office
Facility Name SPINE CENTER SAVANNAH
Street 310 EISENHOWER DRIVE, BLDG 12, SUITE C
City SAVANNAH
State GA
ZIP 31406
Phone 912 417-3050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Physician Office
Lab Director CASEY LEONG

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