11D2128965 CLIA NUMBER - GLENWOOD HEALTH CENTER BY HARBORVIEW

Laboratory Demographics

  • CLIA Code: 11D2128965
  • Facility Name: GLENWOOD HEALTH CENTER BY HARBORVIEW
  • Facility Address: 4115 GLENWOOD ROAD
    DECATUR, GA
    ZIP 30032
  • Facility Phone: 404 284-6414
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: EVELYN ARENYEKA
  • NPI Number: 1376093666
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2128965
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GLENWOOD HEALTH CENTER BY HARBORVIEW
Street 4115 GLENWOOD ROAD
City DECATUR
State GA
ZIP 30032
Phone 404 284-6414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director EVELYN ARENYEKA

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