11D2126384 CLIA NUMBER - PHOEBE ELECTROPHYSIOLOGY

Laboratory Demographics

  • CLIA Code: 11D2126384
  • Facility Name: PHOEBE ELECTROPHYSIOLOGY
  • Facility Address: 425 W THIRD AVENUE, SUITE 700
    ALBANY, GA
    ZIP 31701
  • Facility Phone: (229) 312-7510
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAMIL HANNA
  • NPI Number: 1255794541
  • Taxonomy: 207RC0001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2126384
LAB Type Physician Office
Facility Name PHOEBE ELECTROPHYSIOLOGY
Street 425 W THIRD AVENUE, SUITE 700
City ALBANY
State GA
ZIP 31701
Phone 2293127510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Physician Office
Lab Director KAMIL HANNA

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This page was last updated on: 5/18/2026