11D0678996 CLIA NUMBER - ELBERTA HEALTHCARE, LLC DBA SOUTHERN PINES

Laboratory Demographics

  • CLIA Code: 11D0678996
  • Facility Name: ELBERTA HEALTHCARE, LLC DBA SOUTHERN PINES
  • Facility Address: 801 ELBERTA ROAD
    WARNER ROBINS, GA
    ZIP 31093
  • Facility Phone: (912) 923-3146
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DONNA STEFANO
  • NPI Number: 1326037516
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0678996
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ELBERTA HEALTHCARE, LLC DBA SOUTHERN PINES
Street 801 ELBERTA ROAD
City WARNER ROBINS
State GA
ZIP 31093
Phone 9129233146
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 DONNA STEFANO

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This page was last updated on: 5/18/2026