11D0645821 CLIA NUMBER - ETOWAH LANDING NURSING CENTER

Laboratory Demographics

  • CLIA Code: 11D0645821
  • Facility Name: ETOWAH LANDING NURSING CENTER
  • Facility Address: 809 SOUTH BROAD STREET
    ROME, GA
    ZIP 30161
  • Facility Phone: 706 235-1337
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PAULETTE K. ADAMS
  • NPI Number: 1104876796
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0645821
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ETOWAH LANDING NURSING CENTER
Street 809 SOUTH BROAD STREET
City ROME
State GA
ZIP 30161
Phone 706 235-1337
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 PAULETTE K. ADAMS

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This page was last updated on: 6/4/2025