11D2164080 CLIA NUMBER - METNURSE HEALTH SERVICES, INC

Laboratory Demographics

CLIA Number: 11D2164080

Facility Name: METNURSE HEALTH SERVICES, INC

Facility Address:
155 WESTRIDGE PKWY, SUITE 221
MCDONOUGH, GA
ZIP 30253
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Facility Phone Number: 678 694-7180

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1750647194

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	11D2164080
LAB Type	Home Health Agency
Facility Name	METNURSE HEALTH SERVICES, INC
Street	155 WESTRIDGE PKWY, SUITE 221
City	MCDONOUGH
State	GA
ZIP	30253
Phone	678 694-7180
CertificateType	4
CertificateEffectiveDate	3/27/2023
CertificateExpirationDate	3/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024