11D2291541 CLIA NUMBER - ARCHBOLD LIVING CAIRO

Laboratory Demographics

  • CLIA Code: 11D2291541
  • Facility Name: ARCHBOLD LIVING CAIRO
  • Facility Address: 1057 5TH STREET, SE
    CAIRO, GA
    ZIP 39828
  • Facility Phone: 229 397-6200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. JASON NESMITH
  • NPI Number: 1346557717
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D2291541
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ARCHBOLD LIVING CAIRO
Street 1057 5TH STREET, SE
City CAIRO
State GA
ZIP 39828
Phone 229 397-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2023
Certificate Expiration Date 10/11/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. JASON NESMITH

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