11D0860795 CLIA NUMBER - GRANDVIEW HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 11D0860795
  • Facility Name: GRANDVIEW HEALTH CARE CENTER
  • Facility Address: 618 GENNETT DRIVE
    JASPER, GA
    ZIP 30143
  • Facility Phone: 706 692-6323
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATHIRAE SEVERSON
  • NPI Number: 1821573536
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0860795
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GRANDVIEW HEALTH CARE CENTER
Street 618 GENNETT DRIVE
City JASPER
State GA
ZIP 30143
Phone 706 692-6323
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 KATHIRAE SEVERSON

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