11D2177680 CLIA NUMBER - SHAW LIVING, PC

Laboratory Demographics

  • CLIA Code: 11D2177680
  • Facility Name: SHAW LIVING, PC
  • Facility Address: 2484 EAST PINETREE BLVD
    THOMASVILLE, GA
    ZIP 31792
  • Facility Phone: 229 594-6800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRANDI W. WARREN
  • NPI Number: 1033778923
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2177680
LAB Type Physician Office
Facility Name SHAW LIVING, PC
Street 2484 EAST PINETREE BLVD
City THOMASVILLE
State GA
ZIP 31792
Phone 229 594-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director BRANDI W. WARREN

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