11D0261450 CLIA NUMBER - UNION COUNTY NURSING HOME

Laboratory Demographics

  • CLIA Code: 11D0261450
  • Facility Name: UNION COUNTY NURSING HOME
  • Facility Address: 164 NURSING HOME CIRCLE
    BLAIRSVILLE, GA
    ZIP 30512
  • Facility Phone: 706 745-4948
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JERRY D. PORTER
  • NPI Number: 1902867732
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0261450
LAB Type Other
Facility Name UNION COUNTY NURSING HOME
Street 164 NURSING HOME CIRCLE
City BLAIRSVILLE
State GA
ZIP 30512
Phone 706 745-4948
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Other
Lab Director JERRY D. PORTER

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