11D1058715 CLIA NUMBER - AYLO HEALTH - JACKSON

Laboratory Demographics

  • CLIA Code: 11D1058715
  • Facility Name: AYLO HEALTH - JACKSON
  • Facility Address: 1502 W 3RD STREET
    JACKSON, GA
    ZIP 30233
  • Facility Phone: (678) 774-0430
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. NICOLE JIMERSON
  • NPI Number: 1205919263
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1058715
LAB Type Physician Office
Facility Name AYLO HEALTH - JACKSON
Street 1502 W 3RD STREET
City JACKSON
State GA
ZIP 30233
Phone 6787740430
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/24/2026
Certificate Expiration Date 6/23/2028
Facility Type Physician Office
Lab Director DR. NICOLE JIMERSON

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This page was last updated on: 6/29/2026