11D0257191 CLIA NUMBER - FAIRBURN HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 11D0257191
  • Facility Name: FAIRBURN HEALTH CARE CENTER
  • Facility Address: 178 WEST CAMPBELLTON ST
    FAIRBURN, GA
    ZIP 30213
  • Facility Phone: 770 964-1320
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHERI S. UNDERWOOD
  • NPI Number: 1861923740
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0257191
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FAIRBURN HEALTH CARE CENTER
Street 178 WEST CAMPBELLTON ST
City FAIRBURN
State GA
ZIP 30213
Phone 770 964-1320
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 CHERI S. UNDERWOOD

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