11D2227367 CLIA NUMBER - HOUSTON HEALTHCARE PAVILION DIAGNOSTIC CENTER

Laboratory Demographics

  • CLIA Code: 11D2227367
  • Facility Name: HOUSTON HEALTHCARE PAVILION DIAGNOSTIC CENTER
  • Facility Address: 233 NORTH HOUSTON ROAD, SUITE 140I
    WARNER ROBINS, GA
    ZIP 31093
  • Facility Phone: 478 975-6670
  • Facility Type: Other - DIAGNOSTIC CENTER
  • Facility Type: Waiver
  • Lab Director: ALI SHAIKH
  • NPI Number: 1770539884
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2227367
LAB Type Other - DIAGNOSTIC CENTER
Facility Name HOUSTON HEALTHCARE PAVILION DIAGNOSTIC CENTER
Street 233 NORTH HOUSTON ROAD, SUITE 140I
City WARNER ROBINS
State GA
ZIP 31093
Phone 478 975-6670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Other - DIAGNOSTIC CENTER
Lab Director ALI SHAIKH

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