11D1051679 CLIA NUMBER - MOUNT PLEASANT ALTERNATIVE CARE

Laboratory Demographics

  • CLIA Code: 11D1051679
  • Facility Name: MOUNT PLEASANT ALTERNATIVE CARE
  • Facility Address: 311 JOHNSON AVENUE
    THOMSON, GA
    ZIP 30824
  • Facility Phone: 706 595-8537
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: RUTHA MYRICK
  • NPI Number: 1629216916
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D1051679
LAB Type Other
Facility Name MOUNT PLEASANT ALTERNATIVE CARE
Street 311 JOHNSON AVENUE
City THOMSON
State GA
ZIP 30824
Phone 706 595-8537
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Other
Lab Director RUTHA MYRICK

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