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11D2191956 CLIA NUMBER - SOVEREIGN AND GRACE SERVICES DBA A R K DIAGNOSTICS SOLUTIONS

Laboratory Demographics

CLIA Number: 11D2191956

Facility Name: SOVEREIGN AND GRACE SERVICES DBA A R K DIAGNOSTICS SOLUTIONS

Facility Address:
551 SMITH AVENUE, SUITE A
THOMASVILLE, GA
ZIP 31792
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Facility Phone Number: 229 403-5252

Facility Type: Mobile Laboratory

Certificate Type: Waiver
NPI Number: 1932717618

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 11D2191956
LAB Type Mobile Laboratory
Facility Name SOVEREIGN AND GRACE SERVICES DBA A R K DIAGNOSTICS SOLUTIONS
Street 551 SMITH AVENUE, SUITE A
City THOMASVILLE
State GA
ZIP 31792
Phone 229 403-5252
CertificateType 4
CertificateEffectiveDate 9/3/2022
CertificateExpirationDate 9/2/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024