11D0261017 CLIA NUMBER - OXLEY PARK

Laboratory Demographics

  • CLIA Code: 11D0261017
  • Facility Name: OXLEY PARK
  • Facility Address: 181 OXLEY DRIVE ATTN SHANAY BURDEN
    LYONS, GA
    ZIP 30436
  • Facility Phone: 912 685-5072
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MAULIKKUMAR A. PATEL
  • NPI Number: 1558308692
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0261017
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OXLEY PARK
Street 181 OXLEY DRIVE ATTN SHANAY BURDEN
City LYONS
State GA
ZIP 30436
Phone 912 685-5072
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 MAULIKKUMAR A. PATEL

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