11D2206248 CLIA NUMBER - RURAL URGENT CARE

Laboratory Demographics

  • CLIA Code: 11D2206248
  • Facility Name: RURAL URGENT CARE
  • Facility Address: 1245 NOAH DRIVE
    JASPER, GA
    ZIP 30143
  • Facility Phone: 205 545-5085
  • Facility Type: Other - URGENT CARE/FAMILY CARE
  • Facility Type: Waiver
  • Lab Director: TIMOTHY TAYLOR
  • NPI Number: 1154092815
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2206248
LAB Type Other - URGENT CARE/FAMILY CARE
Facility Name RURAL URGENT CARE
Street 1245 NOAH DRIVE
City JASPER
State GA
ZIP 30143
Phone 205 545-5085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Other - URGENT CARE/FAMILY CARE
Lab Director TIMOTHY TAYLOR

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