11D2187365 CLIA NUMBER - PICKENS URGENT CARE, LLC

Laboratory Demographics

  • CLIA Code: 11D2187365
  • Facility Name: PICKENS URGENT CARE, LLC
  • Facility Address: 744 NOAH DRIVE, SUITE 108 - 109
    JASPER, GA
    ZIP 30143
  • Facility Phone: 404 984-8357
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESUS VAZQUEZ-FIGUEROA
  • NPI Number: 1326645573
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2187365
LAB Type Physician Office
Facility Name PICKENS URGENT CARE, LLC
Street 744 NOAH DRIVE, SUITE 108 - 109
City JASPER
State GA
ZIP 30143
Phone 404 984-8357
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Physician Office
Lab Director JESUS VAZQUEZ-FIGUEROA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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