11D0683387 CLIA NUMBER - GRACEMORE NURSING AND REHAB

Laboratory Demographics

  • CLIA Code: 11D0683387
  • Facility Name: GRACEMORE NURSING AND REHAB
  • Facility Address: 2708 LEE STREET
    BRUNSWICK, GA
    ZIP 31520
  • Facility Phone: 912 265-6771
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: APPAVUCHETTY H. SOUNDAPPAN
  • NPI Number: 1477542991
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0683387
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GRACEMORE NURSING AND REHAB
Street 2708 LEE STREET
City BRUNSWICK
State GA
ZIP 31520
Phone 912 265-6771
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 APPAVUCHETTY H. SOUNDAPPAN

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