11D2125723 CLIA NUMBER - CARECONNECT CONVENIENT CARE

Laboratory Demographics

  • CLIA Code: 11D2125723
  • Facility Name: CARECONNECT CONVENIENT CARE
  • Facility Address: 277 PERRY PARKWAY, SUITE C
    PERRY, GA
    ZIP 31069
  • Facility Phone: 478 988-6087
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: BRIDGET MOSLEY
  • NPI Number: 1659819357
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2125723
LAB Type Federally Qualified Health Center
Facility Name CARECONNECT CONVENIENT CARE
Street 277 PERRY PARKWAY, SUITE C
City PERRY
State GA
ZIP 31069
Phone 478 988-6087
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Federally Qualified Health Center
Lab Director BRIDGET MOSLEY

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