11D2109916 CLIA NUMBER - SHRINK SAVANNAH DBA CHAD BROCK, MD

Laboratory Demographics

  • CLIA Code: 11D2109916
  • Facility Name: SHRINK SAVANNAH DBA CHAD BROCK, MD
  • Facility Address: 1601 ABERCORN STREET
    SAVANNAH, GA
    ZIP 31401
  • Facility Phone: 912 712-2550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHAD BROCK
  • NPI Number: 1659731826
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2109916
LAB Type Physician Office
Facility Name SHRINK SAVANNAH DBA CHAD BROCK, MD
Street 1601 ABERCORN STREET
City SAVANNAH
State GA
ZIP 31401
Phone 912 712-2550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Physician Office
Lab Director CHAD BROCK

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This page was last updated on: 3/20/2025