11D1103404 CLIA NUMBER - CARECONNECT CONVENIENT CARE AND PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D1103404
  • Facility Name: CARECONNECT CONVENIENT CARE AND PEDIATRICS
  • Facility Address: 817 GRIFFIN AVENUE
    EASTMAN, GA
    ZIP 31023
  • Facility Phone: 478 374-1801
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: BRIDGET MOSLEY
  • NPI Number: 1043440340
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D1103404
LAB Type Federally Qualified Health Center
Facility Name CARECONNECT CONVENIENT CARE AND PEDIATRICS
Street 817 GRIFFIN AVENUE
City EASTMAN
State GA
ZIP 31023
Phone 478 374-1801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Federally Qualified Health Center
Lab Director BRIDGET MOSLEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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