11D0263731 CLIA NUMBER - FLINT RIVER HOSPITAL

Laboratory Demographics

  • CLIA Code: 11D0263731
  • Facility Name: FLINT RIVER HOSPITAL
  • Facility Address: 509 SUMTER ST
    MONTEZUMA, GA
    ZIP 31063
  • Facility Phone: 478 472-3100
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DR. QUINCY J. JORDAN
  • NPI Number: 1518026202
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0263731
LAB Type Hospital
Facility Name FLINT RIVER HOSPITAL
Street 509 SUMTER ST
City MONTEZUMA
State GA
ZIP 31063
Phone 478 472-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Hospital
Lab Director DR. QUINCY J. JORDAN

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