11D0882305 CLIA NUMBER - MADISON HEALTH & REHAB

Laboratory Demographics

  • CLIA Code: 11D0882305
  • Facility Name: MADISON HEALTH & REHAB
  • Facility Address: 2036 SOUTH MAIN STREET
    MADISON, GA
    ZIP 30650
  • Facility Phone: 706 342-3200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JANIE P. VAUGHN RN
  • NPI Number: 1457365017
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0882305
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MADISON HEALTH & REHAB
Street 2036 SOUTH MAIN STREET
City MADISON
State GA
ZIP 30650
Phone 706 342-3200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JANIE P. VAUGHN RN

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