11D2293704 CLIA NUMBER - EFFINGHAM HOSPITAL INC DBA EFFINGHAM MEDICAL OFFICE BLDG

Laboratory Demographics

  • CLIA Code: 11D2293704
  • Facility Name: EFFINGHAM HOSPITAL INC DBA EFFINGHAM MEDICAL OFFICE BLDG
  • Facility Address: 459 HIGHWAY 119 SOUTH, BLDG 100
    SPRINGFIELD, GA
    ZIP 31329
  • Facility Phone: 912 754-6451
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID MOORE
  • NPI Number: 1598220915
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 11D2293704
LAB Type Physician Office
Facility Name EFFINGHAM HOSPITAL INC DBA EFFINGHAM MEDICAL OFFICE BLDG
Street 459 HIGHWAY 119 SOUTH, BLDG 100
City SPRINGFIELD
State GA
ZIP 31329
Phone 912 754-6451
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Physician Office
Lab Director DAVID MOORE

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