11D1088331 CLIA NUMBER - MIGRANT FARMWORKERS CLINIC LLC

Laboratory Demographics

  • CLIA Code: 11D1088331
  • Facility Name: MIGRANT FARMWORKERS CLINIC LLC
  • Facility Address: 224 J FRANK CULPEPPER ROAD
    LAKE PARK, GA
    ZIP 31636
  • Facility Phone: 229 559-4550
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: FELIX G. VALDEZ
  • NPI Number: 1407011711
  • Taxonomy: 261QM1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1088331
LAB Type Rural Health Clinic
Facility Name MIGRANT FARMWORKERS CLINIC LLC
Street 224 J FRANK CULPEPPER ROAD
City LAKE PARK
State GA
ZIP 31636
Phone 229 559-4550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Rural Health Clinic
Lab Director FELIX G. VALDEZ

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