11D2193566 CLIA NUMBER - COASTAL CARE MD, LLC

Laboratory Demographics

  • CLIA Code: 11D2193566
  • Facility Name: COASTAL CARE MD, LLC
  • Facility Address: 4 SKIDAWAY VILLAGE WALK SUITE B
    SAVANNAH, GA
    ZIP 31411
  • Facility Phone: 912 598-6322
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SANJAY IYER
  • NPI Number: 1881200772
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2193566
LAB Type Home Health Agency
Facility Name COASTAL CARE MD, LLC
Street 4 SKIDAWAY VILLAGE WALK SUITE B
City SAVANNAH
State GA
ZIP 31411
Phone 912 598-6322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Home Health Agency
Lab Director SANJAY IYER

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