11D2130983 CLIA NUMBER - HARBORVIEW HEALTH CENTER OF AUGUSTA

Laboratory Demographics

  • CLIA Code: 11D2130983
  • Facility Name: HARBORVIEW HEALTH CENTER OF AUGUSTA
  • Facility Address: 3618 J DEWEY GRAY CIRCLE
    AUGUSTA, GA
    ZIP 30907
  • Facility Phone: 706 860-7572
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LISA SAMS
  • NPI Number: 1205386596
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2130983
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HARBORVIEW HEALTH CENTER OF AUGUSTA
Street 3618 J DEWEY GRAY CIRCLE
City AUGUSTA
State GA
ZIP 30907
Phone 706 860-7572
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LISA SAMS

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