11D0263764 CLIA NUMBER - SUMMERHILL ELDERLIVING HOME & CARE ATTENTTION MR JOE ANDREWS

Laboratory Demographics

  • CLIA Code: 11D0263764
  • Facility Name: SUMMERHILL ELDERLIVING HOME & CARE ATTENTTION MR JOE ANDREWS
  • Facility Address: 500 STANLEY STREET
    PERRY, GA
    ZIP 31069
  • Facility Phone: 912 987-3251
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: APPAVUCHETRY SOUNDAPPAN MD
  • NPI Number: 1083603609
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0263764
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SUMMERHILL ELDERLIVING HOME & CARE ATTENTTION MR JOE ANDREWS
Street 500 STANLEY STREET
City PERRY
State GA
ZIP 31069
Phone 912 987-3251
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 APPAVUCHETRY SOUNDAPPAN MD

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