11D2120612 CLIA NUMBER - DANIA BEACH WEST MEDICINE AND REHAB

Laboratory Demographics

  • CLIA Code: 11D2120612
  • Facility Name: DANIA BEACH WEST MEDICINE AND REHAB
  • Facility Address: 507 W 3RD AVENUE, SUITE 8 A
    ALBANY, GA
    ZIP 31701
  • Facility Phone: 888 589-9064
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STANFORD A. WILLIAMSON
  • NPI Number: 1740587641
  • Taxonomy: 261QP3300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2120612
LAB Type Physician Office
Facility Name DANIA BEACH WEST MEDICINE AND REHAB
Street 507 W 3RD AVENUE, SUITE 8 A
City ALBANY
State GA
ZIP 31701
Phone 888 589-9064
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Physician Office
Lab Director STANFORD A. WILLIAMSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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