11D0979917 CLIA NUMBER - COLISEUM DRIVE ASSOCIATES, LLC MACON REHABILITATION AND HEALTHCARE

Laboratory Demographics

  • CLIA Code: 11D0979917
  • Facility Name: COLISEUM DRIVE ASSOCIATES, LLC MACON REHABILITATION AND HEALTHCARE
  • Facility Address: 505 COLISEUM DRIVE
    MACON, GA
    ZIP 31217
  • Facility Phone: 478 743-8687
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: FRANCES A. SMALLEN
  • NPI Number: 1790252427
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0979917
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COLISEUM DRIVE ASSOCIATES, LLC MACON REHABILITATION AND HEALTHCARE
Street 505 COLISEUM DRIVE
City MACON
State GA
ZIP 31217
Phone 478 743-8687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director FRANCES A. SMALLEN

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