10D0724952 CLIA NUMBER - CG MADISON, LLC DBA MADISON HEALTH AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 10D0724952
  • Facility Name: CG MADISON, LLC DBA MADISON HEALTH AND REHABILITATION CENTER
  • Facility Address: 2481 WEST US 90
    MADISON, FL
    ZIP 32340
  • Facility Phone: 850 973-4880
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PAUL E. KOVARY
  • NPI Number: 1801897541
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0724952
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CG MADISON, LLC DBA MADISON HEALTH AND REHABILITATION CENTER
Street 2481 WEST US 90
City MADISON
State FL
ZIP 32340
Phone 850 973-4880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PAUL E. KOVARY

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