11D2230226 CLIA NUMBER - SAVANNAH INTEGRATIVE PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 11D2230226
  • Facility Name: SAVANNAH INTEGRATIVE PEDIATRICS, LLC
  • Facility Address: 132 STEPHENSON AVENUE SUITE 201
    SAVANNAH, GA
    ZIP 31405
  • Facility Phone: 912 567-3700
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SOMMER L. FERREIRA
  • NPI Number: 1235709601
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D2230226
LAB Type Practitioner Other
Facility Name SAVANNAH INTEGRATIVE PEDIATRICS, LLC
Street 132 STEPHENSON AVENUE SUITE 201
City SAVANNAH
State GA
ZIP 31405
Phone 912 567-3700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Practitioner Other
Lab Director SOMMER L. FERREIRA

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