11D0672079 CLIA NUMBER - VISTA PARK HEALTH & REHAB

Laboratory Demographics

  • CLIA Code: 11D0672079
  • Facility Name: VISTA PARK HEALTH & REHAB
  • Facility Address: 1310 WEST GORDON ST
    DOUGLAS, GA
    ZIP 31533
  • Facility Phone: 912 384-7811
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. SATCHELL
  • NPI Number: 1881623098
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0672079
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VISTA PARK HEALTH & REHAB
Street 1310 WEST GORDON ST
City DOUGLAS
State GA
ZIP 31533
Phone 912 384-7811
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 MICHAEL D. SATCHELL

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