11D2300410 CLIA NUMBER - SAMBA RECOVERY AT SAVANNAH

Laboratory Demographics

  • CLIA Code: 11D2300410
  • Facility Name: SAMBA RECOVERY AT SAVANNAH
  • Facility Address: 609 EAST 69TH STREET
    SAVANNAH, GA
    ZIP 31405
  • Facility Phone: 732 642-1610
  • Facility Type: Other - OUTPATIENT D&A FACILITY
  • Facility Type: Waiver
  • Lab Director: JOSHUA A. YAGER
  • NPI Number: 1083479398
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2300410
LAB Type Other - OUTPATIENT D&A FACILITY
Facility Name SAMBA RECOVERY AT SAVANNAH
Street 609 EAST 69TH STREET
City SAVANNAH
State GA
ZIP 31405
Phone 732 642-1610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Other - OUTPATIENT D&A FACILITY
Lab Director JOSHUA A. YAGER

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This page was last updated on: 3/20/2025