11D0683729 CLIA NUMBER - SUMMERS RETIREMENT, LLC DBA THE LODGE

Laboratory Demographics

  • CLIA Code: 11D0683729
  • Facility Name: SUMMERS RETIREMENT, LLC DBA THE LODGE
  • Facility Address: 200 SOUTH KIMBERLY ROAD
    WARNER ROBINS, GA
    ZIP 31088
  • Facility Phone: 478 293-4900
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DEBORAH MEADE
  • NPI Number: 1629458963
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0683729
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SUMMERS RETIREMENT, LLC DBA THE LODGE
Street 200 SOUTH KIMBERLY ROAD
City WARNER ROBINS
State GA
ZIP 31088
Phone 478 293-4900
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 DEBORAH MEADE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025