11D0970993 CLIA NUMBER - CARECONNECT FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 11D0970993
  • Facility Name: CARECONNECT FAMILY PRACTICE
  • Facility Address: 23 OLD SCHOOL ROAD
    GEORGETOWN, GA
    ZIP 39854
  • Facility Phone: 229 334-9353
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: PARVIZ BRAHMAN
  • NPI Number: 1962410613
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0970993
LAB Type Federally Qualified Health Center
Facility Name CARECONNECT FAMILY PRACTICE
Street 23 OLD SCHOOL ROAD
City GEORGETOWN
State GA
ZIP 39854
Phone 229 334-9353
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Federally Qualified Health Center
Lab Director PARVIZ BRAHMAN

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