11D0890816 CLIA NUMBER - HEALTH FIRST, LLC, MOUNTAIN VALLEY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 11D0890816
  • Facility Name: HEALTH FIRST, LLC, MOUNTAIN VALLEY MEDICAL CENTER
  • Facility Address: 92 BETTYS CREEK ROAD
    DILLARD, GA
    ZIP 30537
  • Facility Phone: 706 746-6571
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: CHARLES R. PENNINGTON
  • NPI Number: 1629279666
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0890816
LAB Type Community Clinic
Facility Name HEALTH FIRST, LLC, MOUNTAIN VALLEY MEDICAL CENTER
Street 92 BETTYS CREEK ROAD
City DILLARD
State GA
ZIP 30537
Phone 706 746-6571
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Community Clinic
Lab Director CHARLES R. PENNINGTON

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