11D2075825 CLIA NUMBER - GEORGIA MOUNTAINS HEALTH SERVICES, INC

Laboratory Demographics

  • CLIA Code: 11D2075825
  • Facility Name: GEORGIA MOUNTAINS HEALTH SERVICES, INC
  • Facility Address: 134 ANSLEY DRIVE, SUITE 700
    DAHLONEGA, GA
    ZIP 30533
  • Facility Phone: 706 864-2155
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: GUILLERMO PENA
  • NPI Number: 1659434470
  • Taxonomy: 251C00000X - Day Training, Developmentally Disabled Services

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2075825
LAB Type Federally Qualified Health Center
Facility Name GEORGIA MOUNTAINS HEALTH SERVICES, INC
Street 134 ANSLEY DRIVE, SUITE 700
City DAHLONEGA
State GA
ZIP 30533
Phone 706 864-2155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Federally Qualified Health Center
Lab Director GUILLERMO PENA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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