11D2244842 CLIA NUMBER - PIEDMONT AUGUSTA SUMMERVILLE CAMPUS, SUITE 170

Laboratory Demographics

  • CLIA Code: 11D2244842
  • Facility Name: PIEDMONT AUGUSTA SUMMERVILLE CAMPUS, SUITE 170
  • Facility Address: 2258 WRIGHTSBORO ROAD, SUITE 170
    AUGUSTA, GA
    ZIP 30904
  • Facility Phone: (706) 774-8188
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DR. NABIL N. BASTA

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CLIA Record

Field Name Field Value
CLIA Number 11D2244842
LAB Type Hospital
Facility Name PIEDMONT AUGUSTA SUMMERVILLE CAMPUS, SUITE 170
Street 2258 WRIGHTSBORO ROAD, SUITE 170
City AUGUSTA
State GA
ZIP 30904
Phone 7067748188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2025
Certificate Expiration Date 12/6/2027
Facility Type Hospital
Lab Director DR. NABIL N. BASTA

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