11D0261118 CLIA NUMBER - HERITAGE INN HEALTH AND REHAB

Laboratory Demographics

  • CLIA Code: 11D0261118
  • Facility Name: HERITAGE INN HEALTH AND REHAB
  • Facility Address: 307 JONES MILL RD
    STATESBORO, GA
    ZIP 30458
  • Facility Phone: 912 764-9011
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MAULIKKUMAR A. PATEL
  • NPI Number: 1750370888
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 11D0261118
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HERITAGE INN HEALTH AND REHAB
Street 307 JONES MILL RD
City STATESBORO
State GA
ZIP 30458
Phone 912 764-9011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
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