11D2241157 CLIA NUMBER - ST FRANCIS PSYCHIATRY

Laboratory Demographics

  • CLIA Code: 11D2241157
  • Facility Name: ST FRANCIS PSYCHIATRY
  • Facility Address: 2000 16TH AVENUE
    COLUMBUS, GA
    ZIP 31901
  • Facility Phone: 706 320-3770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TENISIA N. WILLIS
  • NPI Number: 1124493564
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 11D2241157
LAB Type Physician Office
Facility Name ST FRANCIS PSYCHIATRY
Street 2000 16TH AVENUE
City COLUMBUS
State GA
ZIP 31901
Phone 706 320-3770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director TENISIA N. WILLIS

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This page was last updated on: 3/20/2025