11D2134599 CLIA NUMBER - CARECONNECT PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D2134599
  • Facility Name: CARECONNECT PEDIATRICS
  • Facility Address: 110 EAST 13TH AVENUE
    CORDELE, GA
    ZIP 31015
  • Facility Phone: 229 273-0359
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: BRIDGET MOSLEY
  • NPI Number: 1679096606
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2134599
LAB Type Federally Qualified Health Center
Facility Name CARECONNECT PEDIATRICS
Street 110 EAST 13TH AVENUE
City CORDELE
State GA
ZIP 31015
Phone 229 273-0359
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Federally Qualified Health Center
Lab Director BRIDGET MOSLEY

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