11D0987750 CLIA NUMBER - JIMMY SIMPSON FOUNDATION INC, THE

Laboratory Demographics

  • CLIA Code: 11D0987750
  • Facility Name: JIMMY SIMPSON FOUNDATION INC, THE
  • Facility Address: 9558 HIGHWAY 27 N
    ROCK SPRING, GA
    ZIP 30739
  • Facility Phone: 706 375-9520
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: VICKIE D. HODGE
  • NPI Number: 1801978929
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0987750
LAB Type Other
Facility Name JIMMY SIMPSON FOUNDATION INC, THE
Street 9558 HIGHWAY 27 N
City ROCK SPRING
State GA
ZIP 30739
Phone 706 375-9520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Other
Lab Director VICKIE D. HODGE

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