11D0959230 CLIA NUMBER - REGENCY PARK HEALTH & REHABILITATION

Laboratory Demographics

  • CLIA Code: 11D0959230
  • Facility Name: REGENCY PARK HEALTH & REHABILITATION
  • Facility Address: 1212 BROADRICK DRIVE
    DALTON, GA
    ZIP 30720
  • Facility Phone: 706 270-8008
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. MARK ELAM
  • NPI Number: 1477584886
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0959230
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name REGENCY PARK HEALTH & REHABILITATION
Street 1212 BROADRICK DRIVE
City DALTON
State GA
ZIP 30720
Phone 706 270-8008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. MARK ELAM

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