11D2326173 CLIA NUMBER - SAMARITAN CLINIC, INCORPORATED

Laboratory Demographics

  • CLIA Code: 11D2326173
  • Facility Name: SAMARITAN CLINIC, INCORPORATED
  • Facility Address: 314 W OGLETHORPE BOULEVARD
    ALBANY, GA
    ZIP 31707
  • Facility Phone: 229 888-7420
  • Facility Type: Other - FREE CLINIC
  • Facility Type: Waiver
  • Lab Director: ST CLAIRE SUMAILI
  • NPI Number: 1679365001
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2326173
LAB Type Other - FREE CLINIC
Facility Name SAMARITAN CLINIC, INCORPORATED
Street 314 W OGLETHORPE BOULEVARD
City ALBANY
State GA
ZIP 31707
Phone 229 888-7420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Other - FREE CLINIC
Lab Director ST CLAIRE SUMAILI

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