11D2071640 CLIA NUMBER - PATHWAY TO HOPE COUNSELING SERVICES, INC

Laboratory Demographics

  • CLIA Code: 11D2071640
  • Facility Name: PATHWAY TO HOPE COUNSELING SERVICES, INC
  • Facility Address: 1341 WEST HILL AVENUE
    VALDOSTA, GA
    ZIP 31601
  • Facility Phone: 229 249-7730
  • Facility Type: Other - BEHAVORIAL HEALTH PROVIDE
  • Facility Type: Waiver
  • Lab Director: CEILA M. MITCHELL
  • NPI Number: 1578703385
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2071640
LAB Type Other - BEHAVORIAL HEALTH PROVIDE
Facility Name PATHWAY TO HOPE COUNSELING SERVICES, INC
Street 1341 WEST HILL AVENUE
City VALDOSTA
State GA
ZIP 31601
Phone 229 249-7730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Other - BEHAVORIAL HEALTH PROVIDE
Lab Director CEILA M. MITCHELL

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