11D0261152 CLIA NUMBER - EAGLES HEALTH AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 11D0261152
  • Facility Name: EAGLES HEALTH AND REHABILITATION
  • Facility Address: 405 SOUTH COLLEGE STREET
    STATESBORO, GA
    ZIP 30459
  • Facility Phone: 912 764-4575
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MAULIKKUMAR A. PATEL
  • NPI Number: 1023044518
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0261152
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EAGLES HEALTH AND REHABILITATION
Street 405 SOUTH COLLEGE STREET
City STATESBORO
State GA
ZIP 30459
Phone 912 764-4575
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