11D0975349 CLIA NUMBER - OGEECHEE BEHAVIORAL HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 11D0975349
  • Facility Name: OGEECHEE BEHAVIORAL HEALTH SERVICES
  • Facility Address: 223 N ANDERSON DR
    SWAINSBORO, GA
    ZIP 30401
  • Facility Phone: 912 289-2522
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: VICTORIA RICHBOURG
  • NPI Number: 1538214374
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0975349
LAB Type Community Clinic
Facility Name OGEECHEE BEHAVIORAL HEALTH SERVICES
Street 223 N ANDERSON DR
City SWAINSBORO
State GA
ZIP 30401
Phone 912 289-2522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Community Clinic
Lab Director VICTORIA RICHBOURG

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