11D0669953 CLIA NUMBER - AMEDISYS GA, LLC, DBA AMEDISYS HOME HLTH COVINGTON

Laboratory Demographics

  • CLIA Code: 11D0669953
  • Facility Name: AMEDISYS GA, LLC, DBA AMEDISYS HOME HLTH COVINGTON
  • Facility Address: 4162 BAKER STREET, NE
    COVINGTON, GA
    ZIP 30014
  • Facility Phone: 281 481-2974
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JASON SIMS
  • NPI Number: 1134177835
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D0669953
LAB Type Home Health Agency
Facility Name AMEDISYS GA, LLC, DBA AMEDISYS HOME HLTH COVINGTON
Street 4162 BAKER STREET, NE
City COVINGTON
State GA
ZIP 30014
Phone 281 481-2974
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