11D2144839 CLIA NUMBER - IRWIN COUNTY BOARD OF EDUCATION

Laboratory Demographics

  • CLIA Code: 11D2144839
  • Facility Name: IRWIN COUNTY BOARD OF EDUCATION
  • Facility Address: 149 CHIEFTON CIRCLE
    OCILLA, GA
    ZIP 31774
  • Facility Phone: 229 468-9421
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: CRYSTAL R. COOK
  • NPI Number: 1275754103
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 11D2144839
LAB Type School/Student Health Service
Facility Name IRWIN COUNTY BOARD OF EDUCATION
Street 149 CHIEFTON CIRCLE
City OCILLA
State GA
ZIP 31774
Phone 229 468-9421
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type School/Student Health Service
Lab Director CRYSTAL R. COOK

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