11D0860793 CLIA NUMBER - NURSECARE OF ATLANTA INC DBA

Laboratory Demographics

  • CLIA Code: 11D0860793
  • Facility Name: NURSECARE OF ATLANTA INC DBA
  • Facility Address: 2920 SOUTH PHARR COURT NW
    ATLANTA, GA
    ZIP 30305
  • Facility Phone: 404 261-9043
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARY BEVERLY RN
  • NPI Number: 1831175652
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0860793
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NURSECARE OF ATLANTA INC DBA
Street 2920 SOUTH PHARR COURT NW
City ATLANTA
State GA
ZIP 30305
Phone 404 261-9043
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 MARY BEVERLY RN

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