11D0924023 CLIA NUMBER - TB THUNDERBOLT LLC DBA THUNDERBOLT HLTH AND REHAB

Laboratory Demographics

  • CLIA Code: 11D0924023
  • Facility Name: TB THUNDERBOLT LLC DBA THUNDERBOLT HLTH AND REHAB
  • Facility Address: 3223 FALLIGANT AVE
    THUNDERBOLT, GA
    ZIP 31404
  • Facility Phone: 912 691-2512
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRENDA GRIFFIN
  • NPI Number: 1083795827
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0924023
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TB THUNDERBOLT LLC DBA THUNDERBOLT HLTH AND REHAB
Street 3223 FALLIGANT AVE
City THUNDERBOLT
State GA
ZIP 31404
Phone 912 691-2512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BRENDA GRIFFIN

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