11D0646002 CLIA NUMBER - PHG THOMSON LLC DBA THOMSON HEALTH AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 11D0646002
  • Facility Name: PHG THOMSON LLC DBA THOMSON HEALTH AND REHABILITATION
  • Facility Address: 511 MOUNT PLEASANT RD
    THOMSON, GA
    ZIP 30824
  • Facility Phone: 706 595-5574
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: FRANK POWELL MD
  • NPI Number: 1215501366
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0646002
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PHG THOMSON LLC DBA THOMSON HEALTH AND REHABILITATION
Street 511 MOUNT PLEASANT RD
City THOMSON
State GA
ZIP 30824
Phone 706 595-5574
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 FRANK POWELL MD

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