11D2274169 CLIA NUMBER - THE LAB VAULT

Laboratory Demographics

  • CLIA Code: 11D2274169
  • Facility Name: THE LAB VAULT
  • Facility Address: 821 KING GEORGE BLVD. SUITE C
    SAVANNAH, GA
    ZIP 31419
  • Facility Phone: 254 291-2899
  • Facility Type: Other - DIAGNOSTIC TESTING LAB
  • Facility Type: Waiver
  • Lab Director: VERDELL TAYLOR
  • NPI Number: 1871272450
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2274169
LAB Type Other - DIAGNOSTIC TESTING LAB
Facility Name THE LAB VAULT
Street 821 KING GEORGE BLVD. SUITE C
City SAVANNAH
State GA
ZIP 31419
Phone 254 291-2899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Other - DIAGNOSTIC TESTING LAB
Lab Director VERDELL TAYLOR

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