11D2031586 CLIA NUMBER - CONVENIENT CARE, LLC

Laboratory Demographics

  • CLIA Code: 11D2031586
  • Facility Name: CONVENIENT CARE, LLC
  • Facility Address: 207 31ST AVENUE, SE
    MOULTRIE, GA
    ZIP 31768
  • Facility Phone: (229) 217-0088
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREG YARBROUGH
  • NPI Number: 1932631371
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 11D2031586
LAB Type Physician Office
Facility Name CONVENIENT CARE, LLC
Street 207 31ST AVENUE, SE
City MOULTRIE
State GA
ZIP 31768
Phone 2292170088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2025
Certificate Expiration Date 10/23/2027
Facility Type Physician Office
Lab Director GREG YARBROUGH

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This page was last updated on: 5/18/2026