11D2161097 CLIA NUMBER - PICKENS COUNTY

Laboratory Demographics

  • CLIA Code: 11D2161097
  • Facility Name: PICKENS COUNTY
  • Facility Address: 934 E CHURCH STREET
    JASPER, GA
    ZIP 30143
  • Facility Phone: (404) 632-6111
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: CRAIG CAMPUS
  • NPI Number: 1104998475
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 11D2161097
LAB Type Community Clinic
Facility Name PICKENS COUNTY
Street 934 E CHURCH STREET
City JASPER
State GA
ZIP 30143
Phone 4046326111
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/27/2019
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director CRAIG CAMPUS

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This page was last updated on: 5/18/2026