11D2318603 CLIA NUMBER - FIRSTCLASS HEALTHCARE - GWINNETT COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 11D2318603
  • Facility Name: FIRSTCLASS HEALTHCARE - GWINNETT COUNTY JAIL
  • Facility Address: 2900 UNIVERSITY PKWY
    LAWRENCEVILLE, GA
    ZIP 30043
  • Facility Phone: 404 500-6414
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: BENJAMIN A. LEFKOVE
  • NPI Number: 1639891765
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 11D2318603
LAB Type Prison
Facility Name FIRSTCLASS HEALTHCARE - GWINNETT COUNTY JAIL
Street 2900 UNIVERSITY PKWY
City LAWRENCEVILLE
State GA
ZIP 30043
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 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Prison
Lab Director BENJAMIN A. LEFKOVE

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