11D2269195 CLIA NUMBER - HOUSTON COUNTY SCHOOL DISTRICT

Laboratory Demographics

CLIA Number: 11D2269195

Facility Name: HOUSTON COUNTY SCHOOL DISTRICT

Facility Address:
303 SOUTH DAVIS DRIVE
WARNER ROBINS, GA
ZIP 31088
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Facility Phone Number: 478 313-4028

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1235149402

Taxonomy: 261QP0905X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2269195
LAB Type	School/Student Health Service
Facility Name	HOUSTON COUNTY SCHOOL DISTRICT
Street	303 SOUTH DAVIS DRIVE
City	WARNER ROBINS
State	GA
ZIP	31088
Phone	478 313-4028
CertificateType	4
CertificateEffectiveDate	9/22/2022
CertificateExpirationDate	9/21/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024