11D2160339 CLIA NUMBER - SOUTHERN HEALTH & WELLNESS

Laboratory Demographics

  • CLIA Code: 11D2160339
  • Facility Name: SOUTHERN HEALTH & WELLNESS
  • Facility Address: 1098 BERMUDA RUN, SUITE 6
    STATESBORO, GA
    ZIP 30458
  • Facility Phone: 912 259-9904
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES L. HILLER
  • NPI Number: 1548313752
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 11D2160339
LAB Type Physician Office
Facility Name SOUTHERN HEALTH & WELLNESS
Street 1098 BERMUDA RUN, SUITE 6
City STATESBORO
State GA
ZIP 30458
Phone 912 259-9904
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Physician Office
Lab Director JAMES L. HILLER

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