11D0679508 CLIA NUMBER - SOUTHLAND OPERATIONS, LLC DBA SOUTHLAND HEALTHCARE AND REHAB CENTER

Laboratory Demographics

  • CLIA Code: 11D0679508
  • Facility Name: SOUTHLAND OPERATIONS, LLC DBA SOUTHLAND HEALTHCARE AND REHAB CENTER
  • Facility Address: 606 SIMMONS STREET
    DUBLIN, GA
    ZIP 31021
  • Facility Phone: 478 272-1666
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CARLLEE MICKEL
  • NPI Number: 1972558989
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0679508
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTHLAND OPERATIONS, LLC DBA SOUTHLAND HEALTHCARE AND REHAB CENTER
Street 606 SIMMONS STREET
City DUBLIN
State GA
ZIP 31021
Phone 478 272-1666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CARLLEE MICKEL

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