11D0022310 CLIA NUMBER - MAGNOLIA MANOR METHODIST HOME

Laboratory Demographics

  • CLIA Code: 11D0022310
  • Facility Name: MAGNOLIA MANOR METHODIST HOME
  • Facility Address: 2001 S LEE STREET
    AMERICUS, GA
    ZIP 31709
  • Facility Phone: (912) 924-9352
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DEBBIE HARBUCK RN
  • NPI Number: 1326244120
  • Taxonomy: 332BP3500X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 11D0022310
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAGNOLIA MANOR METHODIST HOME
Street 2001 S LEE STREET
City AMERICUS
State GA
ZIP 31709
Phone 9129249352
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 DEBBIE HARBUCK RN

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This page was last updated on: 5/18/2026