11D0907652 CLIA NUMBER - A G RHODES HOME INC

Laboratory Demographics

  • CLIA Code: 11D0907652
  • Facility Name: A G RHODES HOME INC
  • Facility Address: 350 BOULEVARD SE
    ATLANTA, GA
    ZIP 30312
  • Facility Phone: 404 688-6731
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JAMES K. VAN BUREN MD
  • NPI Number: 1386648962
  • Taxonomy: 376G00000X - Nursing Home Administrator

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CLIA Record

Field Name Field Value
CLIA Number 11D0907652
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name A G RHODES HOME INC
Street 350 BOULEVARD SE
City ATLANTA
State GA
ZIP 30312
Phone 404 688-6731
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2023
Certificate Expiration Date 10/17/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JAMES K. VAN BUREN MD

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This page was last updated on: 6/4/2025