11D2310661 CLIA NUMBER - CRH WOMEN'S CENTER BAXLEY

Laboratory Demographics

  • CLIA Code: 11D2310661
  • Facility Name: CRH WOMEN'S CENTER BAXLEY
  • Facility Address: 6545 MAIN STREET
    BAXLEY, GA
    ZIP 31513
  • Facility Phone: 912 384-2500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRADLEY GOLDBERGH
  • NPI Number: 1174058721
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2310661
LAB Type Physician Office
Facility Name CRH WOMEN'S CENTER BAXLEY
Street 6545 MAIN STREET
City BAXLEY
State GA
ZIP 31513
Phone 912 384-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director BRADLEY GOLDBERGH

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