11D2149681 CLIA NUMBER - GLEN EAGLE HELATHCARE & REHAB

Laboratory Demographics

  • CLIA Code: 11D2149681
  • Facility Name: GLEN EAGLE HELATHCARE & REHAB
  • Facility Address: 206 MAIN STREET, EAST
    ABBEVILLE, GA
    ZIP 31001
  • Facility Phone: 229 635-4085
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL T. PEACOCK
  • NPI Number: 1407375645
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2149681
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GLEN EAGLE HELATHCARE & REHAB
Street 206 MAIN STREET, EAST
City ABBEVILLE
State GA
ZIP 31001
Phone 229 635-4085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MICHAEL T. PEACOCK

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