11D1001290 CLIA NUMBER - GEORGIA NURSECARE, LLC

Laboratory Demographics

  • CLIA Code: 11D1001290
  • Facility Name: GEORGIA NURSECARE, LLC
  • Facility Address: 3216 SHRINE ROAD
    BRUNSWICK, GA
    ZIP 31520
  • Facility Phone: (912) 264-0040
  • Facility Type: Other - PRIVATE HM CARE PROVIDER
  • Facility Type: Waiver
  • Lab Director: SUZANN F. KENNEDY
  • NPI Number: 1578908646
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 11D1001290
LAB Type Other - PRIVATE HM CARE PROVIDER
Facility Name GEORGIA NURSECARE, LLC
Street 3216 SHRINE ROAD
City BRUNSWICK
State GA
ZIP 31520
Phone 9122640040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2026
Certificate Expiration Date 7/7/2028
Facility Type Other - PRIVATE HM CARE PROVIDER
Lab Director SUZANN F. KENNEDY

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This page was last updated on: 6/29/2026