11D0910585 CLIA NUMBER - MARIETTA GA OPCO LLC DBA MARIETTA CENTER FOR NURSING AND HEALING

Laboratory Demographics

  • CLIA Code: 11D0910585
  • Facility Name: MARIETTA GA OPCO LLC DBA MARIETTA CENTER FOR NURSING AND HEALING
  • Facility Address: 811 KENNESAW AVE NW
    MARIETTA, GA
    ZIP 30060
  • Facility Phone: 770 422-2451
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: LEANTHONY A. HARDY
  • NPI Number: 1699494104
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0910585
LAB Type Other
Facility Name MARIETTA GA OPCO LLC DBA MARIETTA CENTER FOR NURSING AND HEALING
Street 811 KENNESAW AVE NW
City MARIETTA
State GA
ZIP 30060
Phone 770 422-2451
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Other
Lab Director LEANTHONY A. HARDY

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