11D2182033 CLIA NUMBER - UNISON BEHAVIORAL HEALTH - CHARLTON BH

Laboratory Demographics

  • CLIA Code: 11D2182033
  • Facility Name: UNISON BEHAVIORAL HEALTH - CHARLTON BH
  • Facility Address: 396 KINGSLAND DRIVE
    FOLKSTON, GA
    ZIP 31537
  • Facility Phone: 912 449-7101
  • Facility Type: Other - O/P MH/SA CLINICSB
  • Facility Type: Waiver
  • Lab Director: TIFFANY J. HENDERSON
  • NPI Number: 1962549253
  • Taxonomy: 251C00000X - Day Training, Developmentally Disabled Services

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CLIA Record

Field Name Field Value
CLIA Number 11D2182033
LAB Type Other - O/P MH/SA CLINICSB
Facility Name UNISON BEHAVIORAL HEALTH - CHARLTON BH
Street 396 KINGSLAND DRIVE
City FOLKSTON
State GA
ZIP 31537
Phone 912 449-7101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Other - O/P MH/SA CLINICSB
Lab Director TIFFANY J. HENDERSON

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