11D2138883 CLIA NUMBER - CRH ONCOLOGY GROUP

Laboratory Demographics

  • CLIA Code: 11D2138883
  • Facility Name: CRH ONCOLOGY GROUP
  • Facility Address: 903 B WEST WARD STREET
    DOUGLAS, GA
    ZIP 31533
  • Facility Phone: 912 384-1477
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC ANDERSON
  • NPI Number: 1366784134
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2138883
LAB Type Physician Office
Facility Name CRH ONCOLOGY GROUP
Street 903 B WEST WARD STREET
City DOUGLAS
State GA
ZIP 31533
Phone 912 384-1477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director ERIC ANDERSON

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