11D2245249 CLIA NUMBER - YOUR CHOICE HEALTHCARE MCRAE

Laboratory Demographics

  • CLIA Code: 11D2245249
  • Facility Name: YOUR CHOICE HEALTHCARE MCRAE
  • Facility Address: 23 W MLK JR BLVD
    MCRAE, GA
    ZIP 31055
  • Facility Phone: 229 868-2106
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAMELA LYNN BROWN
  • NPI Number: 1730625872
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 11D2245249
LAB Type Physician Office
Facility Name YOUR CHOICE HEALTHCARE MCRAE
Street 23 W MLK JR BLVD
City MCRAE
State GA
ZIP 31055
Phone 229 868-2106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Physician Office
Lab Director PAMELA LYNN BROWN

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