11D0918613 CLIA NUMBER - TYBEE ISLAND CARE CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D0918613
  • Facility Name: TYBEE ISLAND CARE CENTER, LLC
  • Facility Address: 26 VAN HORNE STREET
    TYBEE ISLAND, GA
    ZIP 31328
  • Facility Phone: 912 786-4511
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: THAN WIN
  • NPI Number: 1518040351
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0918613
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TYBEE ISLAND CARE CENTER, LLC
Street 26 VAN HORNE STREET
City TYBEE ISLAND
State GA
ZIP 31328
Phone 912 786-4511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director THAN WIN

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