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11D2119143 CLIA NUMBER - ST FRANCIS EAR NOSE & THROAT A DEPT OF ST FRANCIS

Laboratory Demographics

CLIA Number: 11D2119143

Facility Name: ST FRANCIS EAR NOSE & THROAT A DEPT OF ST FRANCIS

Facility Address:
2300 MANCHESTER EXPRESSWAY, BUTLER PAVILLION C003
COLUMBUS, GA
ZIP 31904
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Facility Phone Number: 706 324-7753

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1962877308

Taxonomy: 207Y00000X - Otolaryngology
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

CLIA Record

Field Name Field Value
CLIA Number 11D2119143
LAB Type Physician Office
Facility Name ST FRANCIS EAR NOSE & THROAT A DEPT OF ST FRANCIS
Street 2300 MANCHESTER EXPRESSWAY, BUTLER PAVILLION C003
City COLUMBUS
State GA
ZIP 31904
Phone 706 324-7753
CertificateType 4
CertificateEffectiveDate 9/20/2022
CertificateExpirationDate 9/19/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024