11D0645918 CLIA NUMBER - PW SNF LLC DBA PLEASANTVIEW NURSING CENTER

Laboratory Demographics

  • CLIA Code: 11D0645918
  • Facility Name: PW SNF LLC DBA PLEASANTVIEW NURSING CENTER
  • Facility Address: 475 WASHINGTON STREET
    METTER, GA
    ZIP 30439
  • Facility Phone: 912 685-2168
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DANIELLE AXTELL
  • NPI Number: 1790133114
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0645918
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PW SNF LLC DBA PLEASANTVIEW NURSING CENTER
Street 475 WASHINGTON STREET
City METTER
State GA
ZIP 30439
Phone 912 685-2168
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 DANIELLE AXTELL

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