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

Laboratory Demographics

  • CLIA Code: 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
  • Facility Phone: 706 324-7753
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CECIL B. RHODES
  • NPI Number: 1962877308
  • Taxonomy: 207Y00000X - Otolaryngology

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director CECIL B. RHODES

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