11D0681203 CLIA NUMBER - CEDAR VALLEY NURSING & REHAB CENTER

Laboratory Demographics

  • CLIA Code: 11D0681203
  • Facility Name: CEDAR VALLEY NURSING & REHAB CENTER
  • Facility Address: 225 PHILPOT STREET
    CEDARTOWN, GA
    ZIP 30125
  • Facility Phone: 770 748-4116
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. DONALD C. EVANS
  • NPI Number: 1346661386
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0681203
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CEDAR VALLEY NURSING & REHAB CENTER
Street 225 PHILPOT STREET
City CEDARTOWN
State GA
ZIP 30125
Phone 770 748-4116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. DONALD C. EVANS

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