11D2297801 CLIA NUMBER - PRESBYTERIAN VILLAGE-PIEDMONT

Laboratory Demographics

  • CLIA Code: 11D2297801
  • Facility Name: PRESBYTERIAN VILLAGE-PIEDMONT
  • Facility Address: 1400 LIVE OAK LANE, BLDG 100
    ATHENS, GA
    ZIP 30606
  • Facility Phone: 706 769-3331
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANDREW L. MILLER
  • NPI Number: 1346830270
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2297801
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PRESBYTERIAN VILLAGE-PIEDMONT
Street 1400 LIVE OAK LANE, BLDG 100
City ATHENS
State GA
ZIP 30606
Phone 706 769-3331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ANDREW L. MILLER

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