11D2128970 CLIA NUMBER - HARBORVIEW DECATUR

Laboratory Demographics

  • CLIA Code: 11D2128970
  • Facility Name: HARBORVIEW DECATUR
  • Facility Address: 2787 NORTH DECATUR ROAD
    DECATUR, GA
    ZIP 30033
  • Facility Phone: 404 292-0626
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LIZZIE THOMAS
  • NPI Number: 1104376490
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2128970
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HARBORVIEW DECATUR
Street 2787 NORTH DECATUR ROAD
City DECATUR
State GA
ZIP 30033
Phone 404 292-0626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2023
Certificate Expiration Date 4/10/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LIZZIE THOMAS

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This page was last updated on: 3/20/2025