11D2323507 CLIA NUMBER - OGEECHEE OBGYN

Laboratory Demographics

  • CLIA Code: 11D2323507
  • Facility Name: OGEECHEE OBGYN
  • Facility Address: 125 B VICTORY DRIVE
    SWAINSBORO, GA
    ZIP 30401
  • Facility Phone: 912 871-6206
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES F. SMALL
  • NPI Number: 1134198104
  • Taxonomy: 363LX0001X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 11D2323507
LAB Type Physician Office
Facility Name OGEECHEE OBGYN
Street 125 B VICTORY DRIVE
City SWAINSBORO
State GA
ZIP 30401
Phone 912 871-6206
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Physician Office
Lab Director JAMES F. SMALL

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