11D2293618 CLIA NUMBER - CARECONNECT FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 11D2293618
  • Facility Name: CARECONNECT FAMILY PRACTICE
  • Facility Address: 6011 WATSON BOULEVARD, SUITE 380
    BYRON, GA
    ZIP 31008
  • Facility Phone: 478 304-3006
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: BRIDGET MOSLEY
  • NPI Number: 1942073069
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2293618
LAB Type Federally Qualified Health Center
Facility Name CARECONNECT FAMILY PRACTICE
Street 6011 WATSON BOULEVARD, SUITE 380
City BYRON
State GA
ZIP 31008
Phone 478 304-3006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Federally Qualified Health Center
Lab Director BRIDGET MOSLEY

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