11D0263636 CLIA NUMBER - OAKS NURSING HOME, THE

Laboratory Demographics

  • CLIA Code: 11D0263636
  • Facility Name: OAKS NURSING HOME, THE
  • Facility Address: 777 NURSING HOME ROAD
    MARSHALLVILLE, GA
    ZIP 31057
  • Facility Phone: 912 967-2223
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: W J. WINDHAM
  • NPI Number: 1669403036
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0263636
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OAKS NURSING HOME, THE
Street 777 NURSING HOME ROAD
City MARSHALLVILLE
State GA
ZIP 31057
Phone 912 967-2223
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 W J. WINDHAM

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