11D1092525 CLIA NUMBER - VALDOSTA PSYCHIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 11D1092525
  • Facility Name: VALDOSTA PSYCHIATRIC ASSOCIATES
  • Facility Address: 3541 N CROSSING CIRCLE
    VALDOSTA, GA
    ZIP 31602
  • Facility Phone: 229 244-4200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOEL L. MORGAN
  • NPI Number: 1336282144
  • Taxonomy: 106H00000X - Marriage & Family Therapist

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CLIA Record

Field Name Field Value
CLIA Number 11D1092525
LAB Type Physician Office
Facility Name VALDOSTA PSYCHIATRIC ASSOCIATES
Street 3541 N CROSSING CIRCLE
City VALDOSTA
State GA
ZIP 31602
Phone 229 244-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2024
Certificate Expiration Date 11/25/2026
Facility Type Physician Office
Lab Director JOEL L. MORGAN

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