11D0880296 CLIA NUMBER - PLACE AT MARTINEZ LLC, THE

Laboratory Demographics

  • CLIA Code: 11D0880296
  • Facility Name: PLACE AT MARTINEZ LLC, THE
  • Facility Address: 409 PLEASANT HOME ROAD
    AUGUSTA, GA
    ZIP 30907
  • Facility Phone: 706 863-6030
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEPHEN L. RAMP
  • NPI Number: 1639103690
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0880296
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PLACE AT MARTINEZ LLC, THE
Street 409 PLEASANT HOME ROAD
City AUGUSTA
State GA
ZIP 30907
Phone 706 863-6030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director STEPHEN L. RAMP

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