11D2155759 CLIA NUMBER - LANEY INTERNAL MEDICINE GROUP

Laboratory Demographics

  • CLIA Code: 11D2155759
  • Facility Name: LANEY INTERNAL MEDICINE GROUP
  • Facility Address: 209 S TALLAHASSEE STREET
    HAZLEHURST, GA
    ZIP 31539
  • Facility Phone: (912) 375-3095
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON R. LANEY
  • NPI Number: 1891270393
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2155759
LAB Type Physician Office
Facility Name LANEY INTERNAL MEDICINE GROUP
Street 209 S TALLAHASSEE STREET
City HAZLEHURST
State GA
ZIP 31539
Phone 9123753095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Physician Office
Lab Director JASON R. LANEY

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: 5/18/2026