11D2265975 CLIA NUMBER - BEN HILL COUNTY SCHOOL BASED HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 11D2265975
  • Facility Name: BEN HILL COUNTY SCHOOL BASED HEALTH CENTER
  • Facility Address: 134 JC HUNTER DRIVE
    FITZGERALD, GA
    ZIP 31750
  • Facility Phone: 229 468-9166
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: CLARENCE HUNTER
  • NPI Number: 1124342522
  • Taxonomy: 208M00000X - Hospitalist

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CLIA Record

Field Name Field Value
CLIA Number 11D2265975
LAB Type Federally Qualified Health Center
Facility Name BEN HILL COUNTY SCHOOL BASED HEALTH CENTER
Street 134 JC HUNTER DRIVE
City FITZGERALD
State GA
ZIP 31750
Phone 229 468-9166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Federally Qualified Health Center
Lab Director CLARENCE HUNTER

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