11D0725365 CLIA NUMBER - LAGRANGE CARE CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D0725365
  • Facility Name: LAGRANGE CARE CENTER, LLC
  • Facility Address: 2111 WEST POINT ROAD
    LAGRANGE, GA
    ZIP 30240
  • Facility Phone: 706 812-9293
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TERENCE FRINKS
  • NPI Number: 1407908163
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0725365
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAGRANGE CARE CENTER, LLC
Street 2111 WEST POINT ROAD
City LAGRANGE
State GA
ZIP 30240
Phone 706 812-9293
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 TERENCE FRINKS

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