11D2128967 CLIA NUMBER - HARBORVIEW THOMAS

Laboratory Demographics

  • CLIA Code: 11D2128967
  • Facility Name: HARBORVIEW THOMAS
  • Facility Address: 930 SOUTH BROAD STREET
    THOMASVILLE, GA
    ZIP 31792
  • Facility Phone: 229 226-9322
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY PICKENS
  • NPI Number: 1508316894
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2128967
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HARBORVIEW THOMAS
Street 930 SOUTH BROAD STREET
City THOMASVILLE
State GA
ZIP 31792
Phone 229 226-9322
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 KIMBERLY PICKENS

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