11D1041159 CLIA NUMBER - PRUITTHEALTH - VALDOSTA, LLC

Laboratory Demographics

  • CLIA Code: 11D1041159
  • Facility Name: PRUITTHEALTH - VALDOSTA, LLC
  • Facility Address: 2501 NORTH ASHLEY STREET
    VALDOSTA, GA
    ZIP 31602
  • Facility Phone: 229 244-7369
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SOYNA PEELER
  • NPI Number: 1942257464
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D1041159
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PRUITTHEALTH - VALDOSTA, LLC
Street 2501 NORTH ASHLEY STREET
City VALDOSTA
State GA
ZIP 31602
Phone 229 244-7369
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SOYNA PEELER

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