11D2246645 CLIA NUMBER - RESTOR METABOLIX OF BLACKSHEAR

Laboratory Demographics

  • CLIA Code: 11D2246645
  • Facility Name: RESTOR METABOLIX OF BLACKSHEAR
  • Facility Address: 3345 US HIGHWAY 84 WEST UNIT 102
    BLACKSHEAR, GA
    ZIP 31516
  • Facility Phone: 912 208-3581
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COURTNEY L. HAYES
  • NPI Number: 1174287379
  • Taxonomy: 207RE0101X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2246645
LAB Type Physician Office
Facility Name RESTOR METABOLIX OF BLACKSHEAR
Street 3345 US HIGHWAY 84 WEST UNIT 102
City BLACKSHEAR
State GA
ZIP 31516
Phone 912 208-3581
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Physician Office
Lab Director COURTNEY L. HAYES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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