11D0256260 CLIA NUMBER - CARROLLTON MANOR INC

Laboratory Demographics

  • CLIA Code: 11D0256260
  • Facility Name: CARROLLTON MANOR INC
  • Facility Address: 2455 OAK GROVE CHURCH RD
    CARROLLTON, GA
    ZIP 30117
  • Facility Phone: 770 834-1737
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS THOMPSON
  • NPI Number: 1922003177
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0256260
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CARROLLTON MANOR INC
Street 2455 OAK GROVE CHURCH RD
City CARROLLTON
State GA
ZIP 30117
Phone 770 834-1737
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 THOMAS THOMPSON

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