CLIA lab

CLIA 11D2317406: 904 Health Inc

Savannah, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D2317406 belongs to 904 Health Inc in Savannah, GA.

Certificate of Waiver, effective January 23, 2025, expires January 22, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
January 23, 2025
Certificate expiration
January 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 23, 2025
Facility type
Community clinic
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D2317406
Lab name
904 Health Inc
Address
145 Southern Blvd, Savannah, GA 31405
Phone
(904) 900-1513
Fax
(904) 575-4944

Annual test volume the lab reported

Waived tests
300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Savannah, GA

Related

Questions

What is the CLIA number for 904 Health Inc in Savannah?

11D2317406, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does 904 Health Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2317406 expire?

The CMS file lists January 22, 2027 as the certificate expiration date; the certificate took effect January 23, 2025.

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