11D0261749 CLIA NUMBER - PRUITT HEALTH TOCCOA

Laboratory Demographics

  • CLIA Code: 11D0261749
  • Facility Name: PRUITT HEALTH TOCCOA
  • Facility Address: 633 FALLS ROAD
    TOCCOA, GA
    ZIP 30577
  • Facility Phone: (706) 886-8491
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHRIS HILL
  • NPI Number: 1174570600
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0261749
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PRUITT HEALTH TOCCOA
Street 633 FALLS ROAD
City TOCCOA
State GA
ZIP 30577
Phone 7068868491
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 CHRIS HILL

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This page was last updated on: 5/18/2026