11D0696820 CLIA NUMBER - SUNCREST HOME HEALTH

Laboratory Demographics

  • CLIA Code: 11D0696820
  • Facility Name: SUNCREST HOME HEALTH
  • Facility Address: 664 SCRANTON ROAD, SUITE 204
    BRUNSWICK, GA
    ZIP 31520
  • Facility Phone: 912 462-6773
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHERRI GREEN
  • NPI Number: 1447232798
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D0696820
LAB Type Home Health Agency
Facility Name SUNCREST HOME HEALTH
Street 664 SCRANTON ROAD, SUITE 204
City BRUNSWICK
State GA
ZIP 31520
Phone 912 462-6773
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 Home Health Agency
Lab Director SHERRI GREEN

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