11D0926643 CLIA NUMBER - ALBANY AREA COMMUNITY SERVICE BOARD BHDDS STABILIZATION UNIT & OUTPATIENT

Laboratory Demographics

  • CLIA Code: 11D0926643
  • Facility Name: ALBANY AREA COMMUNITY SERVICE BOARD BHDDS STABILIZATION UNIT & OUTPATIENT
  • Facility Address: 601 WEST 11TH AVE
    ALBANY, GA
    ZIP 31702
  • Facility Phone: 229 430-4005
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: AMEENAH DARBY
  • NPI Number: 1164187464
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 11D0926643
LAB Type Other
Facility Name ALBANY AREA COMMUNITY SERVICE BOARD BHDDS STABILIZATION UNIT & OUTPATIENT
Street 601 WEST 11TH AVE
City ALBANY
State GA
ZIP 31702
Phone 229 430-4005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Other
Lab Director AMEENAH DARBY

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