11D2318353 CLIA NUMBER - FIRSTCLASS HEALTHCARE - CLAYTON JAIL

Laboratory Demographics

  • CLIA Code: 11D2318353
  • Facility Name: FIRSTCLASS HEALTHCARE - CLAYTON JAIL
  • Facility Address: 9157 TARA BLVD
    JONESBORO, GA
    ZIP 30236
  • Facility Phone: 404 500-6414
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: BENJAMIN A. LEFKOVE
  • NPI Number: 1669270138
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 11D2318353
LAB Type Prison
Facility Name FIRSTCLASS HEALTHCARE - CLAYTON JAIL
Street 9157 TARA BLVD
City JONESBORO
State GA
ZIP 30236
Phone 404 500-6414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Prison
Lab Director BENJAMIN A. LEFKOVE

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