11D0646035 CLIA NUMBER - HEART OF GEORGIA NURSING HOME

Laboratory Demographics

  • CLIA Code: 11D0646035
  • Facility Name: HEART OF GEORGIA NURSING HOME
  • Facility Address: 801 LEGION DRIVE
    EASTMAN, GA
    ZIP 31023
  • Facility Phone: 478 374-5571
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BLAKE E. MILNER
  • NPI Number: 1285787630
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0646035
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HEART OF GEORGIA NURSING HOME
Street 801 LEGION DRIVE
City EASTMAN
State GA
ZIP 31023
Phone 478 374-5571
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 BLAKE E. MILNER

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