01D0887411 CLIA NUMBER - LAKESIDE HOSPICE INC

Laboratory Demographics

  • CLIA Code: 01D0887411
  • Facility Name: LAKESIDE HOSPICE INC
  • Facility Address: 4010 MASTERS ROAD
    PELL CITY, AL
    ZIP 35128
  • Facility Phone: 205 884-1111
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: PAUL GARING
  • NPI Number: 1346244399
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 01D0887411
LAB Type Hospice
Facility Name LAKESIDE HOSPICE INC
Street 4010 MASTERS ROAD
City PELL CITY
State AL
ZIP 35128
Phone 205 884-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Hospice
Lab Director PAUL GARING

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