11D0694817 CLIA NUMBER - EAST CENTRAL HEALTH DISTRICT

Laboratory Demographics

CLIA Number: 11D0694817

Facility Name: EAST CENTRAL HEALTH DISTRICT

Facility Address:
950 LANEY WALKER BLVD
AUGUSTA, GA
ZIP 30901
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Facility Phone Number: 706 729-2130

Facility Type: Public Health Laboratories

Certificate Type: Certificate of Compliance

NPI Number: 1639230725

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	11D0694817
LAB Type	Public Health Laboratories
Facility Name	EAST CENTRAL HEALTH DISTRICT
Street	950 LANEY WALKER BLVD
City	AUGUSTA
State	GA
ZIP	30901
Phone	706 729-2130
CertificateType	2
CertificateEffectiveDate	3/30/2023
CertificateExpirationDate	3/29/2025
FacilityType	Compliance

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