11D2054524 CLIA NUMBER - COMFORT CREEK NURSING AND REHAB CENTER

Laboratory Demographics

  • CLIA Code: 11D2054524
  • Facility Name: COMFORT CREEK NURSING AND REHAB CENTER
  • Facility Address: 10200 US HIGHWAY 1 SOUTH
    WADLEY, GA
    ZIP 30477
  • Facility Phone: 478 252-5254
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ASHLEY S. COOPER
  • NPI Number: 1255815304
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2054524
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COMFORT CREEK NURSING AND REHAB CENTER
Street 10200 US HIGHWAY 1 SOUTH
City WADLEY
State GA
ZIP 30477
Phone 478 252-5254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ASHLEY S. COOPER

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