11D2121555 CLIA NUMBER - LONG COUNTY BOARD OF EDUCATION

Laboratory Demographics

  • CLIA Code: 11D2121555
  • Facility Name: LONG COUNTY BOARD OF EDUCATION
  • Facility Address: 1844 GEORGIA HIGHWAY 57
    LUDOWICI, GA
    ZIP 31316
  • Facility Phone: 912 545-7855
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: KATIE R. GOLDEN
  • NPI Number: 1528298668
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2121555
LAB Type School/Student Health Service
Facility Name LONG COUNTY BOARD OF EDUCATION
Street 1844 GEORGIA HIGHWAY 57
City LUDOWICI
State GA
ZIP 31316
Phone 912 545-7855
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type School/Student Health Service
Lab Director KATIE R. GOLDEN

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