11D1095030 CLIA NUMBER - CARECONNECT URGENT CARE

Laboratory Demographics

  • CLIA Code: 11D1095030
  • Facility Name: CARECONNECT URGENT CARE
  • Facility Address: 711 E 16TH AVENUE
    CORDELE, GA
    ZIP 31015
  • Facility Phone: 229 271-9330
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: BRIDGET MOSLEY
  • NPI Number: 1124266499
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1095030
LAB Type Federally Qualified Health Center
Facility Name CARECONNECT URGENT CARE
Street 711 E 16TH AVENUE
City CORDELE
State GA
ZIP 31015
Phone 229 271-9330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Federally Qualified Health Center
Lab Director BRIDGET MOSLEY

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