11D0977873 CLIA NUMBER - OCONEE CENTER

Laboratory Demographics

CLIA Number: 11D0977873

Facility Name: OCONEE CENTER

Facility Address:
1239 ORCHARD HILL ROAD
MILLEDGEVILLE, GA
ZIP 31061
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Facility Phone Number: 478 445-5255

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1255400545

Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

CLIA Record

Field Name	Field Value
CLIA Number	11D0977873
LAB Type	Other
Facility Name	OCONEE CENTER
Street	1239 ORCHARD HILL ROAD
City	MILLEDGEVILLE
State	GA
ZIP	31061
Phone	478 445-5255
CertificateType	4
CertificateEffectiveDate	9/8/2022
CertificateExpirationDate	9/7/2024
FacilityType	Waiver

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