11D2124671 CLIA NUMBER - NEW HOPE CLINIC

Laboratory Demographics

  • CLIA Code: 11D2124671
  • Facility Name: NEW HOPE CLINIC
  • Facility Address: 215 EAST 13TH AVENUE
    CORDELE, GA
    ZIP 31015
  • Facility Phone: 229 276-0100
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: PARVIZ BRAHMAN
  • NPI Number: 1669915856
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2124671
LAB Type Federally Qualified Health Center
Facility Name NEW HOPE CLINIC
Street 215 EAST 13TH AVENUE
City CORDELE
State GA
ZIP 31015
Phone 229 276-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Federally Qualified Health Center
Lab Director PARVIZ BRAHMAN

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This page was last updated on: 6/4/2025