11D2242444 CLIA NUMBER - GOODMAN MEDICAL SERVICES, PC

Laboratory Demographics

  • CLIA Code: 11D2242444
  • Facility Name: GOODMAN MEDICAL SERVICES, PC
  • Facility Address: 5500 FREDERICA ROAD, SUITE 2208
    SAINT SIMONS ISLAND, GA
    ZIP 31522
  • Facility Phone: (912) 268-4633
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEIL E. GOODMAN
  • NPI Number: 1093430654
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2242444
LAB Type Physician Office
Facility Name GOODMAN MEDICAL SERVICES, PC
Street 5500 FREDERICA ROAD, SUITE 2208
City SAINT SIMONS ISLAND
State GA
ZIP 31522
Phone 9122684633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2025
Certificate Expiration Date 11/8/2027
Facility Type Physician Office
Lab Director NEIL E. GOODMAN

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This page was last updated on: 5/18/2026