01D1054865 CLIA NUMBER - LHCG XXII, LLC DBA ALABAMA HOSPICE CARE OF BHAM

Laboratory Demographics

CLIA Number: 01D1054865

Facility Name: LHCG XXII, LLC DBA ALABAMA HOSPICE CARE OF BHAM

Facility Address:
285 CALUMET PLACE, SUITE 200
TRUSSVILLE, AL
ZIP 35173
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Facility Phone Number: 205 228-0600

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1609178979

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	01D1054865
LAB Type	Hospice
Facility Name	LHCG XXII, LLC DBA ALABAMA HOSPICE CARE OF BHAM
Street	285 CALUMET PLACE, SUITE 200
City	TRUSSVILLE
State	AL
ZIP	35173
Phone	205 228-0600
CertificateType	4
CertificateEffectiveDate	6/2/2022
CertificateExpirationDate	6/1/2024
FacilityType	Waiver

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