11D0263603 CLIA NUMBER - PINEWOOD MANOR NURSING AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 11D0263603
  • Facility Name: PINEWOOD MANOR NURSING AND REHABILITATION CENTER
  • Facility Address: 277COMMERCE STREET
    HAWKINSVILLE, GA
    ZIP 31036
  • Facility Phone: 912 892-9171
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RONNY G. CRUMP
  • NPI Number: 1477650752
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0263603
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PINEWOOD MANOR NURSING AND REHABILITATION CENTER
Street 277COMMERCE STREET
City HAWKINSVILLE
State GA
ZIP 31036
Phone 912 892-9171
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 RONNY G. CRUMP

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