11D2317406 CLIA NUMBER - 904 HEALTH INC

Laboratory Demographics

  • CLIA Code: 11D2317406
  • Facility Name: 904 HEALTH INC
  • Facility Address: 145 SOUTHERN BLVD
    SAVANNAH, GA
    ZIP 31405
  • Facility Phone: 904 900-1513
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: PABLO PELLA
  • NPI Number: 1184305435
  • Taxonomy: 207RI0200X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2317406
LAB Type Community Clinic
Facility Name 904 HEALTH INC
Street 145 SOUTHERN BLVD
City SAVANNAH
State GA
ZIP 31405
Phone 904 900-1513
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Community Clinic
Lab Director PABLO PELLA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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