11D0664728 CLIA NUMBER - AMEDISYS GEORGIA LLC, DBA AMEDISYS HOME HLTH CARE

Laboratory Demographics

  • CLIA Code: 11D0664728
  • Facility Name: AMEDISYS GEORGIA LLC, DBA AMEDISYS HOME HLTH CARE
  • Facility Address: 3633 WHEELER ROAD, SUITE 200 ATTN REGULATORY
    AUGUSTA, GA
    ZIP 30909
  • Facility Phone: 706 860-0772
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JASON SIMS
  • NPI Number: 1952359705
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D0664728
LAB Type Home Health Agency
Facility Name AMEDISYS GEORGIA LLC, DBA AMEDISYS HOME HLTH CARE
Street 3633 WHEELER ROAD, SUITE 200 ATTN REGULATORY
City AUGUSTA
State GA
ZIP 30909
Phone 706 860-0772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Home Health Agency
Lab Director JASON SIMS

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