11D0265388 CLIA NUMBER - HARBORVIEW HEALTH SYSTEMS JESUP

Laboratory Demographics

  • CLIA Code: 11D0265388
  • Facility Name: HARBORVIEW HEALTH SYSTEMS JESUP
  • Facility Address: 1090 WEST ORANGE ST
    JESUP, GA
    ZIP 31545
  • Facility Phone: 912 427-6858
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ROBERT PUMPELLY IV
  • NPI Number: 1720439292
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0265388
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HARBORVIEW HEALTH SYSTEMS JESUP
Street 1090 WEST ORANGE ST
City JESUP
State GA
ZIP 31545
Phone 912 427-6858
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 ROBERT PUMPELLY IV

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