11D2244917 CLIA NUMBER - BACON PRE-TRANSITION CENTER

Laboratory Demographics

  • CLIA Code: 11D2244917
  • Facility Name: BACON PRE-TRANSITION CENTER
  • Facility Address: 165 EASTSIDE INDUSTRIAL BOULEVARD
    ALMA, GA
    ZIP 31510
  • Facility Phone: 678 470-3977
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: HEATHER BROCK
  • NPI Number: 1295044030
  • Taxonomy: 101Y00000X - Counselor

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2244917
LAB Type Prison
Facility Name BACON PRE-TRANSITION CENTER
Street 165 EASTSIDE INDUSTRIAL BOULEVARD
City ALMA
State GA
ZIP 31510
Phone 678 470-3977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Prison
Lab Director HEATHER BROCK

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