11D2306613 CLIA NUMBER - GIBSON WELLNESS

Laboratory Demographics

  • CLIA Code: 11D2306613
  • Facility Name: GIBSON WELLNESS
  • Facility Address: 143 US HWY 319 SOUTH UNIT 8
    MOULTRIE, GA
    ZIP 31768
  • Facility Phone: 229 985-0208
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: TIFFANIE A. GIBSON

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CLIA Record

Field Name Field Value
CLIA Number 11D2306613
LAB Type Community Clinic
Facility Name GIBSON WELLNESS
Street 143 US HWY 319 SOUTH UNIT 8
City MOULTRIE
State GA
ZIP 31768
Phone 229 985-0208
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Community Clinic
Lab Director TIFFANIE A. GIBSON

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