11D2212624 CLIA NUMBER - GEORGIA BEHAVIORAL SERVICES,LLC

Laboratory Demographics

  • CLIA Code: 11D2212624
  • Facility Name: GEORGIA BEHAVIORAL SERVICES,LLC
  • Facility Address: 104 BORDERS WAY SUITE 500
    WARNER ROBINS, GA
    ZIP 31088
  • Facility Phone: 478 352-0422
  • Facility Type: Other - DATEP
  • Facility Type: Waiver
  • Lab Director: DARLA N. JACKSON
  • NPI Number: 1861931172
  • Taxonomy: 101YA0400X - Counselor

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2212624
LAB Type Other - DATEP
Facility Name GEORGIA BEHAVIORAL SERVICES,LLC
Street 104 BORDERS WAY SUITE 500
City WARNER ROBINS
State GA
ZIP 31088
Phone 478 352-0422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Other - DATEP
Lab Director DARLA N. JACKSON

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