11D2142850 CLIA NUMBER - CARECONNECT CONVENIENT CARE

Laboratory Demographics

  • CLIA Code: 11D2142850
  • Facility Name: CARECONNECT CONVENIENT CARE
  • Facility Address: 209 NORTH CAMELLIA BLVD
    FORT VALLEY, GA
    ZIP 31030
  • Facility Phone: 478 822-0054
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: BRIDGET MOSLEY
  • NPI Number: 1801302997
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2142850
LAB Type Federally Qualified Health Center
Facility Name CARECONNECT CONVENIENT CARE
Street 209 NORTH CAMELLIA BLVD
City FORT VALLEY
State GA
ZIP 31030
Phone 478 822-0054
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Federally Qualified Health Center
Lab Director BRIDGET MOSLEY

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