11D2178630 CLIA NUMBER - CARECONNECT CONVENIENT CARE

Laboratory Demographics

  • CLIA Code: 11D2178630
  • Facility Name: CARECONNECT CONVENIENT CARE
  • Facility Address: 130 NORTH LEE STREET
    FORSYTH, GA
    ZIP 31029
  • Facility Phone: 478 974-6080
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: PARVIZ BRAHMAN
  • NPI Number: 1497921167
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2178630
LAB Type Federally Qualified Health Center
Facility Name CARECONNECT CONVENIENT CARE
Street 130 NORTH LEE STREET
City FORSYTH
State GA
ZIP 31029
Phone 478 974-6080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Federally Qualified Health Center
Lab Director PARVIZ BRAHMAN

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