11D2122678 CLIA NUMBER - BOUNTIFUL HILLS SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 11D2122678
  • Facility Name: BOUNTIFUL HILLS SENIOR LIVING
  • Facility Address: 200 BOLTON DRIVE
    COMMERCE, GA
    ZIP 30529
  • Facility Phone: 706 335-5152
  • Facility Type: Other - PERSONAL CARE HOME
  • Facility Type: Waiver
  • Lab Director: MRS. ROGER D. LOGGINGS
  • NPI Number: 1861869885
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2122678
LAB Type Other - PERSONAL CARE HOME
Facility Name BOUNTIFUL HILLS SENIOR LIVING
Street 200 BOLTON DRIVE
City COMMERCE
State GA
ZIP 30529
Phone 706 335-5152
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Other - PERSONAL CARE HOME
Lab Director MRS. ROGER D. LOGGINGS

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