11D0921704 CLIA NUMBER - CL SNF, LLC, DBA RIVER BROOK HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 11D0921704
  • Facility Name: CL SNF, LLC, DBA RIVER BROOK HEALTHCARE CENTER
  • Facility Address: 390 SWEAT STREET
    HOMERVILLE, GA
    ZIP 31634
  • Facility Phone: (912) 487-5328
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL BUTLER
  • NPI Number: 1689614935
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0921704
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CL SNF, LLC, DBA RIVER BROOK HEALTHCARE CENTER
Street 390 SWEAT STREET
City HOMERVILLE
State GA
ZIP 31634
Phone 9124875328
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MICHAEL BUTLER

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This page was last updated on: 5/18/2026