11D2270269 CLIA NUMBER - UNISON BEHAVIORAL HEALTH-COFFEE BH ADULT

Laboratory Demographics

  • CLIA Code: 11D2270269
  • Facility Name: UNISON BEHAVIORAL HEALTH-COFFEE BH ADULT
  • Facility Address: 900 W COLLEGE PARK DRIVE
    DOUGLAS, GA
    ZIP 31533
  • Facility Phone: 912 449-7104
  • Facility Type: Other - OUTPATIENT MH/SA CLINIC
  • Facility Type: Waiver
  • Lab Director: VIVA L. STEED
  • NPI Number: 1194861443
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2270269
LAB Type Other - OUTPATIENT MH/SA CLINIC
Facility Name UNISON BEHAVIORAL HEALTH-COFFEE BH ADULT
Street 900 W COLLEGE PARK DRIVE
City DOUGLAS
State GA
ZIP 31533
Phone 912 449-7104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Other - OUTPATIENT MH/SA CLINIC
Lab Director VIVA L. STEED

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