11D0676215 CLIA NUMBER - HART CARE CENTER

Laboratory Demographics

  • CLIA Code: 11D0676215
  • Facility Name: HART CARE CENTER
  • Facility Address: 261 FAIRVIEW AVE
    HARTWELL, GA
    ZIP 30643
  • Facility Phone: 706 376-7121
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ED WYSONG
  • NPI Number: 1750387924
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0676215
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HART CARE CENTER
Street 261 FAIRVIEW AVE
City HARTWELL
State GA
ZIP 30643
Phone 706 376-7121
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 ED WYSONG

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This page was last updated on: 3/20/2025