11D2266001 CLIA NUMBER - IRWIN COUNTY SCHOOL BASED HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 11D2266001
  • Facility Name: IRWIN COUNTY SCHOOL BASED HEALTH CENTER
  • Facility Address: 521 LAX HIGHWAY
    OCILLA, GA
    ZIP 31774
  • Facility Phone: 229 468-9166
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: CLARENCE HUNTER
  • NPI Number: 1962499038
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2266001
LAB Type Federally Qualified Health Center
Facility Name IRWIN COUNTY SCHOOL BASED HEALTH CENTER
Street 521 LAX HIGHWAY
City OCILLA
State GA
ZIP 31774
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