EAST GEORGIA DIAGNOSTIC SERVICES
NPI 1497702088
Clinical Medical Laboratory in Statesboro, GA

Active since May 28, 2006CLIA 11D0982961 · Certificate of Compliance
112 S ZETTEROWER AVE, STATESBORO, GA 30458(912) 489-2400 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Georgia Diagnostic Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST GEORGIA DIAGNOSTIC SERVICES (NPI 1497702088) is a healthcare organization registered as a clinical medical laboratory in Statesboro, Georgia and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through November 28, 2027 and lists Tom Carico, President, as its authorized official.

NPPES Registry Identity

NPI1497702088
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameEAST GEORGIA DIAGNOSTIC SERVICES
Location Address112 S ZETTEROWER AVEStatesboro, GA 30458-4816
Mailing AddressPo Box 2697Statesboro, GA 30459-2697 · (912) 489-2400
Organization SubpartNo
Authorized OfficialTom CaricoPresident · (912) 489-2400
Enumeration DateMay 28, 2006
Last NPPES UpdateNovember 8, 2021
NPPES CertifiedNovember 8, 2021
NPI 1497702088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
112 S ZETTEROWER AVE, Statesboro, GA 30458

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 11D0982961

East Georgia Diagnostic Services · Statesboro, GA
Active · expires Nov 28, 2027
CLIA Number11D0982961
Laboratory TypeIndependent
Certificate Effective DateNovember 29, 2025
Certificate Expiration DateNovember 28, 2027
Laboratory DirectorDr. Thomas D. Carico
Laboratory Phone(912) 489-2400
Laboratory LocationEast Georgia Diagnostic Services333 South Walnut Street, Statesboro, GA 30458
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
249 services88 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
104 services36 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
68 services36 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
112 S ZETTEROWER AVE
STATESBORO, GA 30458
Pathology (Anatomic Pathology & Clinical Pathology)
112 S ZETTEROWER AVE
STATESBORO, GA 30458

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Georgia Diagnostic Services's NPI number?

The NPI number for East Georgia Diagnostic Services is 1497702088. It was assigned to this organization in the NPPES registry on May 28, 2006.

Where is East Georgia Diagnostic Services located?

East Georgia Diagnostic Services is located at 112 S Zetterower Ave, Statesboro, GA 30458. The listed phone number is (912) 489-2400.

What is East Georgia Diagnostic Services's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does East Georgia Diagnostic Services hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D0982961) is associated with this NPI, valid through November 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Georgia Diagnostic Services accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list East Georgia Diagnostic Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Georgia Diagnostic Services was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.