11D2027897 CLIA NUMBER - CARECONNECT URGENT CARE

Laboratory Demographics

  • CLIA Code: 11D2027897
  • Facility Name: CARECONNECT URGENT CARE
  • Facility Address: 1805 NORTH TIFT AVENUE, SUITE D
    TIFTON, GA
    ZIP 31794
  • Facility Phone: 229 382-5554
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. PARVIZ BRAHMAN
  • NPI Number: 1265720668
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2027897
LAB Type Federally Qualified Health Center
Facility Name CARECONNECT URGENT CARE
Street 1805 NORTH TIFT AVENUE, SUITE D
City TIFTON
State GA
ZIP 31794
Phone 229 382-5554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Federally Qualified Health Center
Lab Director DR. PARVIZ BRAHMAN

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