11D0261745 CLIA NUMBER - STEPHENS COUNTY HOSPITAL

Laboratory Demographics

CLIA Number: 11D0261745

Facility Name: STEPHENS COUNTY HOSPITAL

Facility Address:
163 HOSPITAL DRIVE
TOCCOA, GA
ZIP 30577
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Facility Phone Number: 706 421-6734

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1508070897

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	11D0261745
LAB Type	Hospital
Facility Name	STEPHENS COUNTY HOSPITAL
Street	163 HOSPITAL DRIVE
City	TOCCOA
State	GA
ZIP	30577
Phone	706 421-6734
CertificateType	1
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024