11D0975349 CLIA NUMBER - OGEECHEE BEHAVIORAL HEALTH SERVICES

Laboratory Demographics

CLIA Number: 11D0975349

Facility Name: OGEECHEE BEHAVIORAL HEALTH SERVICES

Facility Address:
223 N ANDERSON DR
SWAINSBORO, GA
ZIP 30401
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Facility Phone Number: 912 289-2522

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1538214374

Taxonomy: 261QM0801X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	7/6/2022
CertificateExpirationDate	7/5/2024
FacilityType	Waiver

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