11D1053466 CLIA NUMBER - COLQUITT GARDEN MANOR

Laboratory Demographics

  • CLIA Code: 11D1053466
  • Facility Name: COLQUITT GARDEN MANOR
  • Facility Address: 498 FIFTH STREET SOUTH EAST
    MOULTRIE, GA
    ZIP 31768
  • Facility Phone: 229 891-3336
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: CAMEILLA CARTER LINDER
  • NPI Number: 1720146756
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D1053466
LAB Type Other
Facility Name COLQUITT GARDEN MANOR
Street 498 FIFTH STREET SOUTH EAST
City MOULTRIE
State GA
ZIP 31768
Phone 229 891-3336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Other
Lab Director CAMEILLA CARTER LINDER

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