11D2294935 CLIA NUMBER - PRUITTHEALTH - EVANS, LLC

Laboratory Demographics

  • CLIA Code: 11D2294935
  • Facility Name: PRUITTHEALTH - EVANS, LLC
  • Facility Address: 561 UNIVERSITY DRIVE
    EVANS, GA
    ZIP 30809
  • Facility Phone: 706 863-7514
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ERICA ROBERTS
  • NPI Number: 1730964180
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2294935
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PRUITTHEALTH - EVANS, LLC
Street 561 UNIVERSITY DRIVE
City EVANS
State GA
ZIP 30809
Phone 706 863-7514
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ERICA ROBERTS

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