11D2294014 CLIA NUMBER - AFFABILIS II, DBA SOUTH GEORGIA SPECIALTY HOSPITAL

Laboratory Demographics

  • CLIA Code: 11D2294014
  • Facility Name: AFFABILIS II, DBA SOUTH GEORGIA SPECIALTY HOSPITAL
  • Facility Address: 2000 PALYMRA ROAD, 3RD FLOOR
    ALBANY, GA
    ZIP 31701
  • Facility Phone: 806 712-1096
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: SHAMEAKA WILLIAMS
  • NPI Number: 1982471264
  • Taxonomy: 282E00000X - Long Term Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 11D2294014
LAB Type Hospital
Facility Name AFFABILIS II, DBA SOUTH GEORGIA SPECIALTY HOSPITAL
Street 2000 PALYMRA ROAD, 3RD FLOOR
City ALBANY
State GA
ZIP 31701
Phone 806 712-1096
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Hospital
Lab Director SHAMEAKA WILLIAMS

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