11D0672579 CLIA NUMBER - AMEDISYS GA, LLC, DBA AMEDISYS HOME HLTH OF MACON

Laboratory Demographics

  • CLIA Code: 11D0672579
  • Facility Name: AMEDISYS GA, LLC, DBA AMEDISYS HOME HLTH OF MACON
  • Facility Address: 6040 LAKESIDE COMMONS DRIVE SUITE B
    MACON, GA
    ZIP 31210
  • Facility Phone: 478 476-0181
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JASON SIMS
  • NPI Number: 1356399018
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D0672579
LAB Type Home Health Agency
Facility Name AMEDISYS GA, LLC, DBA AMEDISYS HOME HLTH OF MACON
Street 6040 LAKESIDE COMMONS DRIVE SUITE B
City MACON
State GA
ZIP 31210
Phone 478 476-0181
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