11D0892722 CLIA NUMBER - TREUTLEN COUNTY NURSING HOME

Laboratory Demographics

  • CLIA Code: 11D0892722
  • Facility Name: TREUTLEN COUNTY NURSING HOME
  • Facility Address: 2249 COLLEGE STREET
    SOPERTON, GA
    ZIP 30457
  • Facility Phone: 912 529-4418
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MAULIKKUMAR A. PATEL
  • NPI Number: 1659307700
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0892722
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TREUTLEN COUNTY NURSING HOME
Street 2249 COLLEGE STREET
City SOPERTON
State GA
ZIP 30457
Phone 912 529-4418
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MAULIKKUMAR A. PATEL

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