11D0963596 CLIA NUMBER - VALLEY HEALTHCARE SYSTEM INC

Laboratory Demographics

CLIA Number: 11D0963596

Facility Name: VALLEY HEALTHCARE SYSTEM INC

Facility Address:
1600 FT BENNING ROAD
COLUMBUS, GA
ZIP 31903
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Facility Phone Number: 706 322-9599

Facility Type: Other

Certificate Type: Microscopy

NPI Number: 1609814219

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D0963596
LAB Type	Other
Facility Name	VALLEY HEALTHCARE SYSTEM INC
Street	1600 FT BENNING ROAD
City	COLUMBUS
State	GA
ZIP	31903
Phone	706 322-9599
CertificateType	3
CertificateEffectiveDate	2/20/2023
CertificateExpirationDate	2/19/2025
FacilityType	PPMP

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