11D2200138 CLIA NUMBER - CRH FAMILY MEDICINE GROUP - ABRAHAM

Laboratory Demographics

  • CLIA Code: 11D2200138
  • Facility Name: CRH FAMILY MEDICINE GROUP - ABRAHAM
  • Facility Address: 200 DOCTORS DRIVE, SUITE K
    DOUGLAS, GA
    ZIP 31533
  • Facility Phone: 912 384-4024
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACOB ABRAHAM
  • NPI Number: 1508117490
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2200138
LAB Type Physician Office
Facility Name CRH FAMILY MEDICINE GROUP - ABRAHAM
Street 200 DOCTORS DRIVE, SUITE K
City DOUGLAS
State GA
ZIP 31533
Phone 912 384-4024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Physician Office
Lab Director JACOB ABRAHAM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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