11D2175752 CLIA NUMBER - PHOEBE RHEUMATOLOGY

Laboratory Demographics

  • CLIA Code: 11D2175752
  • Facility Name: PHOEBE RHEUMATOLOGY
  • Facility Address: 425 W 3RD AVENUE, SUITE 550
    ALBANY, GA
    ZIP 31701
  • Facility Phone: 229 312-8500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NILOFER AHSAN
  • NPI Number: 1295857704
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2175752
LAB Type Physician Office
Facility Name PHOEBE RHEUMATOLOGY
Street 425 W 3RD AVENUE, SUITE 550
City ALBANY
State GA
ZIP 31701
Phone 229 312-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Physician Office
Lab Director NILOFER AHSAN

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