11D0880471 CLIA NUMBER - HARBORVIEW PIERCE

Laboratory Demographics

  • CLIA Code: 11D0880471
  • Facility Name: HARBORVIEW PIERCE
  • Facility Address: 221 E CARTER AVE
    BLACKSHEAR, GA
    ZIP 31516
  • Facility Phone: 912 449-6631
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. GORDON B. WATER
  • NPI Number: 1124554837
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0880471
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HARBORVIEW PIERCE
Street 221 E CARTER AVE
City BLACKSHEAR
State GA
ZIP 31516
Phone 912 449-6631
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. GORDON B. WATER

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