11D0946618 CLIA NUMBER - RIVER EDGE BEHAVIORIAL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 11D0946618
  • Facility Name: RIVER EDGE BEHAVIORIAL HEALTH CENTER
  • Facility Address: 175 EMERY HWY
    MACON, GA
    ZIP 31217
  • Facility Phone: 912 751-4519
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: FRANK FIELDS
  • NPI Number: 1467965848
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 11D0946618
LAB Type Other
Facility Name RIVER EDGE BEHAVIORIAL HEALTH CENTER
Street 175 EMERY HWY
City MACON
State GA
ZIP 31217
Phone 912 751-4519
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Other
Lab Director FRANK FIELDS

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This page was last updated on: 6/4/2025