11D2244315 CLIA NUMBER - FIELDALE FARMS CORPORATION

Laboratory Demographics

  • CLIA Code: 11D2244315
  • Facility Name: FIELDALE FARMS CORPORATION
  • Facility Address: 565 BROILER BOULEVARD
    BALDWIN, GA
    ZIP 30511
  • Facility Phone: 706 778-5100
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: JANET W. SMITH
  • NPI Number: 1952465056
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2244315
LAB Type Industrial
Facility Name FIELDALE FARMS CORPORATION
Street 565 BROILER BOULEVARD
City BALDWIN
State GA
ZIP 30511
Phone 706 778-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Industrial
Lab Director JANET W. SMITH

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This page was last updated on: 3/20/2025