11D2118731 CLIA NUMBER - EFFINGHAM HOSPITAL, INC DBA EFFINGHAM OCCUPATIONAL MEDICINE

Laboratory Demographics

  • CLIA Code: 11D2118731
  • Facility Name: EFFINGHAM HOSPITAL, INC DBA EFFINGHAM OCCUPATIONAL MEDICINE
  • Facility Address: 7306 HIGHWAY21 SUITE 105
    PORT WENTWORTH, GA
    ZIP 31407
  • Facility Phone: 912 826-1500
  • Facility Type: Other - OCCUPATIONAL MED CLINIC
  • Facility Type: Waiver
  • Lab Director: JOHN R. BENNETT
  • NPI Number: 1851696710
  • Taxonomy: 2083X0100X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2118731
LAB Type Other - OCCUPATIONAL MED CLINIC
Facility Name EFFINGHAM HOSPITAL, INC DBA EFFINGHAM OCCUPATIONAL MEDICINE
Street 7306 HIGHWAY21 SUITE 105
City PORT WENTWORTH
State GA
ZIP 31407
Phone 912 826-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Other - OCCUPATIONAL MED CLINIC
Lab Director JOHN R. BENNETT

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