11D0256278 CLIA NUMBER - PINE KNOLL NURSING & REHABILITATION

Laboratory Demographics

  • CLIA Code: 11D0256278
  • Facility Name: PINE KNOLL NURSING & REHABILITATION
  • Facility Address: 156 PINE KNOLL DR ATTN ELIZABETH PRAYNER
    CARROLLTON, GA
    ZIP 30117
  • Facility Phone: 770 832-8243
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY CARRIGG
  • NPI Number: 1255337341
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0256278
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PINE KNOLL NURSING & REHABILITATION
Street 156 PINE KNOLL DR ATTN ELIZABETH PRAYNER
City CARROLLTON
State GA
ZIP 30117
Phone 770 832-8243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KIMBERLY CARRIGG

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