11D2288805 CLIA NUMBER - HARBISON COVENANT HEALTHCARE INSTITUTE PC

Laboratory Demographics

CLIA Number: 11D2288805

Facility Name: HARBISON COVENANT HEALTHCARE INSTITUTE PC

Facility Address:
2000 10TH AVENUE
COLUMBUS, GA
ZIP 31901
Get Directions

Facility Phone Number: 706 989-4955

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295420578

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	11D2288805
LAB Type	Physician Office
Facility Name	HARBISON COVENANT HEALTHCARE INSTITUTE PC
Street	2000 10TH AVENUE
City	COLUMBUS
State	GA
ZIP	31901
Phone	706 989-4955
CertificateType	4
CertificateEffectiveDate	8/31/2023
CertificateExpirationDate	8/30/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024