11D2316412 CLIA NUMBER - WILLIAMS DISGNOSTIC SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 11D2316412
  • Facility Name: WILLIAMS DISGNOSTIC SERVICES, LLC
  • Facility Address: 5555 WHITTLESEY, SUITE 1200 #1138
    COLUMBUS, GA
    ZIP 31909
  • Facility Phone: 229 869-8965
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: TIFFANI WILLIAMS
  • NPI Number: 1669362521
  • Taxonomy: 291900000X - Military Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D2316412
LAB Type Mobile Laboratory
Facility Name WILLIAMS DISGNOSTIC SERVICES, LLC
Street 5555 WHITTLESEY, SUITE 1200 #1138
City COLUMBUS
State GA
ZIP 31909
Phone 229 869-8965
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Mobile Laboratory
Lab Director TIFFANI WILLIAMS

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