11D0262194 CLIA NUMBER - PRUITTHEALTH - WASHINGTON, LLC

Laboratory Demographics

  • CLIA Code: 11D0262194
  • Facility Name: PRUITTHEALTH - WASHINGTON, LLC
  • Facility Address: 112 HOSPITAL DRIVE
    WASHINGTON, GA
    ZIP 30673
  • Facility Phone: 706 678-7804
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JULIA COMPTON
  • NPI Number: 1043263031
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0262194
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PRUITTHEALTH - WASHINGTON, LLC
Street 112 HOSPITAL DRIVE
City WASHINGTON
State GA
ZIP 30673
Phone 706 678-7804
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 JULIA COMPTON

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