11D0954478 CLIA NUMBER - NEURORESTORATIVE GEORGIA

Laboratory Demographics

  • CLIA Code: 11D0954478
  • Facility Name: NEURORESTORATIVE GEORGIA
  • Facility Address: 3648 WALTON WAY EXT
    AUGUSTA, GA
    ZIP 30909
  • Facility Phone: 706 733-9557
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LOYS M. HANSON
  • NPI Number: 1831474147
  • Taxonomy: 283X00000X - Rehabilitation Hospital

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CLIA Record

Field Name Field Value
CLIA Number 11D0954478
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NEURORESTORATIVE GEORGIA
Street 3648 WALTON WAY EXT
City AUGUSTA
State GA
ZIP 30909
Phone 706 733-9557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LOYS M. HANSON

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