11D2273250 CLIA NUMBER - GRADY COUNTY SCHOOLS

Laboratory Demographics

CLIA Number: 11D2273250

Facility Name: GRADY COUNTY SCHOOLS

Facility Address:
122 NORTH BROAD STREET
CAIRO, GA
ZIP 39828
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Facility Phone Number: 229 307-1711

Facility Type: Other - SCHOOL NURSE OFFICE

Certificate Type: Waiver

NPI Number: 1962433912

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2273250
LAB Type	Other - SCHOOL NURSE OFFICE
Facility Name	GRADY COUNTY SCHOOLS
Street	122 NORTH BROAD STREET
City	CAIRO
State	GA
ZIP	39828
Phone	229 307-1711
CertificateType	4
CertificateEffectiveDate	12/9/2022
CertificateExpirationDate	12/8/2024
FacilityType	Waiver

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