11D2229253 CLIA NUMBER - CHRIST COMMUNITY HEALTH SERVICES

Laboratory Demographics

CLIA Number: 11D2229253

Facility Name: CHRIST COMMUNITY HEALTH SERVICES

Facility Address:
2604 PEACH ORCHARD RD SUITE 200
AUGUSTA, GA
ZIP 30906
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Facility Phone Number: 706 922-0600

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1073192985

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2229253
LAB Type	Federally Qualified Health Center
Facility Name	CHRIST COMMUNITY HEALTH SERVICES
Street	2604 PEACH ORCHARD RD SUITE 200
City	AUGUSTA
State	GA
ZIP	30906
Phone	706 922-0600
CertificateType	3
CertificateEffectiveDate	7/9/2023
CertificateExpirationDate	7/8/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024