11D2167336 CLIA NUMBER - UNISON BEHAVIORAL HLTH - BRANTLEY BEHAVIORAL HLTH

Laboratory Demographics

  • CLIA Code: 11D2167336
  • Facility Name: UNISON BEHAVIORAL HLTH - BRANTLEY BEHAVIORAL HLTH
  • Facility Address: 434 BRYAN STREET
    NAHUNTA, GA
    ZIP 31553
  • Facility Phone: (912) 449-7104
  • Facility Type: Other - O/P MH&SA CLINIC (CSB)
  • Facility Type: Waiver
  • Lab Director: TIFFANY J. HENDERSON

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CLIA Record

Field Name Field Value
CLIA Number 11D2167336
LAB Type Other - O/P MH&SA CLINIC (CSB)
Facility Name UNISON BEHAVIORAL HLTH - BRANTLEY BEHAVIORAL HLTH
Street 434 BRYAN STREET
City NAHUNTA
State GA
ZIP 31553
Phone 9124497104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Other - O/P MH&SA CLINIC (CSB)
Lab Director TIFFANY J. HENDERSON

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