11D2092660 CLIA NUMBER - CARECONNECT PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D2092660
  • Facility Name: CARECONNECT PEDIATRICS
  • Facility Address: 506-C SPAULDING ROAD, SUITE B
    MONTEZUMA, GA
    ZIP 31063
  • Facility Phone: 478 458-9992
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: BRIDGET MOSLEY
  • NPI Number: 1407252638
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2092660
LAB Type Federally Qualified Health Center
Facility Name CARECONNECT PEDIATRICS
Street 506-C SPAULDING ROAD, SUITE B
City MONTEZUMA
State GA
ZIP 31063
Phone 478 458-9992
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Federally Qualified Health Center
Lab Director BRIDGET MOSLEY

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