11D2099882 CLIA NUMBER - CARECONNECT CONVENIENT CARE

Laboratory Demographics

  • CLIA Code: 11D2099882
  • Facility Name: CARECONNECT CONVENIENT CARE
  • Facility Address: 41 EAST OGLETHORPE STREET
    ELLAVILLE, GA
    ZIP 31806
  • Facility Phone: 229 937-9003
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: BRIDGET MOSLEY
  • NPI Number: 1487036075
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2099882
LAB Type Federally Qualified Health Center
Facility Name CARECONNECT CONVENIENT CARE
Street 41 EAST OGLETHORPE STREET
City ELLAVILLE
State GA
ZIP 31806
Phone 229 937-9003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Federally Qualified Health Center
Lab Director BRIDGET MOSLEY

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