11D2126983 CLIA NUMBER - UNION GENERAL HOSPITAL YOUNG HARRIS CLINIC

Laboratory Demographics

  • CLIA Code: 11D2126983
  • Facility Name: UNION GENERAL HOSPITAL YOUNG HARRIS CLINIC
  • Facility Address: 1155 MAIN STREET
    YOUNG HARRIS, GA
    ZIP 30582
  • Facility Phone: 706 439-6873
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAULA BOYLE
  • NPI Number: 1104368141
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2126983
LAB Type Physician Office
Facility Name UNION GENERAL HOSPITAL YOUNG HARRIS CLINIC
Street 1155 MAIN STREET
City YOUNG HARRIS
State GA
ZIP 30582
Phone 706 439-6873
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director PAULA BOYLE

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