11D0998689 CLIA NUMBER - ANNANDALE AT SUWANEE, INC DBA D SCOTT HUDGENS CTR

Laboratory Demographics

  • CLIA Code: 11D0998689
  • Facility Name: ANNANDALE AT SUWANEE, INC DBA D SCOTT HUDGENS CTR
  • Facility Address: 3500 ANNANDALE LANE, BUILDING A
    SUWANEE, GA
    ZIP 30024
  • Facility Phone: 678 765-4814
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NADINE DOWNER
  • NPI Number: 1215900410
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0998689
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ANNANDALE AT SUWANEE, INC DBA D SCOTT HUDGENS CTR
Street 3500 ANNANDALE LANE, BUILDING A
City SUWANEE
State GA
ZIP 30024
Phone 678 765-4814
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director NADINE DOWNER

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