11D0263345 CLIA NUMBER - BLECKLEY MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 11D0263345
  • Facility Name: BLECKLEY MEMORIAL HOSPITAL
  • Facility Address: 145 E PEACOCK STREET
    COCHRAN, GA
    ZIP 31014
  • Facility Phone: 478 934-6211
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: HARRY S. LATHAM
  • NPI Number: 1053461376
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 11D0263345
LAB Type Hospital
Facility Name BLECKLEY MEMORIAL HOSPITAL
Street 145 E PEACOCK STREET
City COCHRAN
State GA
ZIP 31014
Phone 478 934-6211
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Hospital
Lab Director HARRY S. LATHAM

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