11D2229263 CLIA NUMBER - SAVANNAH ENDOCRINOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 11D2229263
  • Facility Name: SAVANNAH ENDOCRINOLOGY, LLC
  • Facility Address: 107 SOUTHERN BOULEVARD, SUITE #103
    SAVANNAH, GA
    ZIP 31405
  • Facility Phone: 912 344-5037
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ISMARY OJEDA DE CASTRO
  • NPI Number: 1205509858
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2229263
LAB Type Physician Office
Facility Name SAVANNAH ENDOCRINOLOGY, LLC
Street 107 SOUTHERN BOULEVARD, SUITE #103
City SAVANNAH
State GA
ZIP 31405
Phone 912 344-5037
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Physician Office
Lab Director ISMARY OJEDA DE CASTRO

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