11D0671087 CLIA NUMBER - GA OPCO LLC DBA PINE VIEW NURSING AND REHAB CENTER

Laboratory Demographics

  • CLIA Code: 11D0671087
  • Facility Name: GA OPCO LLC DBA PINE VIEW NURSING AND REHAB CENTER
  • Facility Address: 411 PINE STREET
    SYLVANIA, GA
    ZIP 30467
  • Facility Phone: 912 564-2015
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARY B. WARNER
  • NPI Number: 1174290100
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0671087
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GA OPCO LLC DBA PINE VIEW NURSING AND REHAB CENTER
Street 411 PINE STREET
City SYLVANIA
State GA
ZIP 30467
Phone 912 564-2015
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 MARY B. WARNER

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