11D0718291 CLIA NUMBER - RIDGEWOOD MANOR NURSING HOME

Laboratory Demographics

  • CLIA Code: 11D0718291
  • Facility Name: RIDGEWOOD MANOR NURSING HOME
  • Facility Address: 1110 BURLEYSON DR
    DALTON, GA
    ZIP 30720
  • Facility Phone: 706 226-1021
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHEILA MASON
  • NPI Number: 1184653677
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0718291
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIDGEWOOD MANOR NURSING HOME
Street 1110 BURLEYSON DR
City DALTON
State GA
ZIP 30720
Phone 706 226-1021
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 SHEILA MASON

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