11D2051680 CLIA NUMBER - GREENLEAF CENTER

Laboratory Demographics

  • CLIA Code: 11D2051680
  • Facility Name: GREENLEAF CENTER
  • Facility Address: 2209 PINEVIEW DRIVE ATTN PAUL HAHN
    VALDOSTA, GA
    ZIP 31602
  • Facility Phone: 229 671-6643
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: TONYA HICKS
  • NPI Number: 1538417753
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 11D2051680
LAB Type Hospital
Facility Name GREENLEAF CENTER
Street 2209 PINEVIEW DRIVE ATTN PAUL HAHN
City VALDOSTA
State GA
ZIP 31602
Phone 229 671-6643
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2024
Certificate Expiration Date 12/25/2026
Facility Type Hospital
Lab Director TONYA HICKS

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