11D0672014 CLIA NUMBER - AMEDISYS GEORGIA LLC DBA CENTRAL HOME HEALTH CARE AN AMEDISYS COMPANY

Laboratory Demographics

  • CLIA Code: 11D0672014
  • Facility Name: AMEDISYS GEORGIA LLC DBA CENTRAL HOME HEALTH CARE AN AMEDISYS COMPANY
  • Facility Address: 1990 LAKESIDE PARKWAY, SUITE 210
    TUCKER, GA
    ZIP 30084
  • Facility Phone: 770 938-9611
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JASON SIMS
  • NPI Number: 1477501179
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D0672014
LAB Type Home Health Agency
Facility Name AMEDISYS GEORGIA LLC DBA CENTRAL HOME HEALTH CARE AN AMEDISYS COMPANY
Street 1990 LAKESIDE PARKWAY, SUITE 210
City TUCKER
State GA
ZIP 30084
Phone 770 938-9611
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