11D2088075 CLIA NUMBER - STEPHENS COUNTY HOSPITAL PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 11D2088075
  • Facility Name: STEPHENS COUNTY HOSPITAL PRIMARY CARE
  • Facility Address: 218 FALLS ROAD
    TOCCOA, GA
    ZIP 30577
  • Facility Phone: 706 282-4360
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JIM R. WADE
  • NPI Number: 1033191267
  • Taxonomy: 282NR1301X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 11D2088075
LAB Type Physician Office
Facility Name STEPHENS COUNTY HOSPITAL PRIMARY CARE
Street 218 FALLS ROAD
City TOCCOA
State GA
ZIP 30577
Phone 706 282-4360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Physician Office
Lab Director JIM R. WADE

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