11D2269777 CLIA NUMBER - DOUGLAS COUNTY SCHOOL SYSTEM

Laboratory Demographics

CLIA Number: 11D2269777

Facility Name: DOUGLAS COUNTY SCHOOL SYSTEM

Facility Address:
11490 VETERANS MEMORIAL HWY
DOUGLASVILLE, GA
ZIP 30134
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Facility Phone Number: 770 651-2090

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1326017062

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	11D2269777
LAB Type	School/Student Health Service
Facility Name	DOUGLAS COUNTY SCHOOL SYSTEM
Street	11490 VETERANS MEMORIAL HWY
City	DOUGLASVILLE
State	GA
ZIP	30134
Phone	770 651-2090
CertificateType	4
CertificateEffectiveDate	10/4/2022
CertificateExpirationDate	10/3/2024
FacilityType	Waiver

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