11D0265382 CLIA NUMBER - AM SNF LLC DBA ALTAMAHA HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 11D0265382
  • Facility Name: AM SNF LLC DBA ALTAMAHA HEALTHCARE CENTER
  • Facility Address: 1311 WEST CHERRY STREET
    JESUP, GA
    ZIP 31545
  • Facility Phone: 912 427-7792
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANITA MICHAELS
  • NPI Number: 1487001343
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0265382
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AM SNF LLC DBA ALTAMAHA HEALTHCARE CENTER
Street 1311 WEST CHERRY STREET
City JESUP
State GA
ZIP 31545
Phone 912 427-7792
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 ANITA MICHAELS

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