11D2173182 CLIA NUMBER - DAHLONEGA ASSISTED LIVING & MEMORY CARE

Laboratory Demographics

CLIA Number: 11D2173182

Facility Name: DAHLONEGA ASSISTED LIVING & MEMORY CARE

Facility Address:
55 MECHANICSVILLE ROAD
DAHLONEGA, GA
ZIP 30533
Get Directions

Facility Phone Number: 706 864-3000

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1376096321

Taxonomy: 364SP0200X - Clinical Nurse Specialist

CLIA Record

Field Name	Field Value
CLIA Number	11D2173182
LAB Type	Assisted Living Facility
Facility Name	DAHLONEGA ASSISTED LIVING & MEMORY CARE
Street	55 MECHANICSVILLE ROAD
City	DAHLONEGA
State	GA
ZIP	30533
Phone	706 864-3000
CertificateType	4
CertificateEffectiveDate	10/8/2023
CertificateExpirationDate	10/7/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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