11D2232367 CLIA NUMBER - KIDS HEALTH OF FITZGERALD

Laboratory Demographics

  • CLIA Code: 11D2232367
  • Facility Name: KIDS HEALTH OF FITZGERALD
  • Facility Address: 299 BENJAMIN HILL DRIVE, SUITE A
    FITZGERALD, GA
    ZIP 31750
  • Facility Phone: 229 423-5437
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: CLARENCE HUNTER
  • NPI Number: 1629302260
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D2232367
LAB Type Federally Qualified Health Center
Facility Name KIDS HEALTH OF FITZGERALD
Street 299 BENJAMIN HILL DRIVE, SUITE A
City FITZGERALD
State GA
ZIP 31750
Phone 229 423-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Federally Qualified Health Center
Lab Director CLARENCE HUNTER

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