11D2044495 CLIA NUMBER - CARECONNECT FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 11D2044495
  • Facility Name: CARECONNECT FAMILY PRACTICE
  • Facility Address: 300 MEDICAL COURT
    OGLETHORPE, GA
    ZIP 31068
  • Facility Phone: 478 458-9942
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: RICHARD CHASE
  • NPI Number: 1497019194
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2044495
LAB Type Federally Qualified Health Center
Facility Name CARECONNECT FAMILY PRACTICE
Street 300 MEDICAL COURT
City OGLETHORPE
State GA
ZIP 31068
Phone 478 458-9942
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Federally Qualified Health Center
Lab Director RICHARD CHASE

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