11D1081983 CLIA NUMBER - WHITE COUNTY EMS NORTHEAST GEORGIA HEALTH SYSTEM

Laboratory Demographics

  • CLIA Code: 11D1081983
  • Facility Name: WHITE COUNTY EMS NORTHEAST GEORGIA HEALTH SYSTEM
  • Facility Address: 1331 HELEN HIGHWAY, WHITE COUNTY EMS BLDG
    CLEVELAND, GA
    ZIP 30528
  • Facility Phone: 706 865-7475
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MOHAK DAVE
  • NPI Number: 1770654287
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 11D1081983
LAB Type Rural Health Clinic
Facility Name WHITE COUNTY EMS NORTHEAST GEORGIA HEALTH SYSTEM
Street 1331 HELEN HIGHWAY, WHITE COUNTY EMS BLDG
City CLEVELAND
State GA
ZIP 30528
Phone 706 865-7475
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Rural Health Clinic
Lab Director MOHAK DAVE

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