11D2267904 CLIA NUMBER - EXPAND HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 11D2267904
  • Facility Name: EXPAND HEALTH, LLC
  • Facility Address: 3441 CYPRESS MILL ROAD SUITE 101
    BRUNSWICK, GA
    ZIP 31520
  • Facility Phone: (912) 419-5148
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TYLER W. COLE
  • NPI Number: 1205556594
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2267904
LAB Type Practitioner Other
Facility Name EXPAND HEALTH, LLC
Street 3441 CYPRESS MILL ROAD SUITE 101
City BRUNSWICK
State GA
ZIP 31520
Phone 9124195148
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Practitioner Other
Lab Director TYLER W. COLE

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