11D0695853 CLIA NUMBER - AMEDISYS NORTHWEST, LLC D/B/A AMEDISYS NORTHWEST HOME HEALTH

Laboratory Demographics

  • CLIA Code: 11D0695853
  • Facility Name: AMEDISYS NORTHWEST, LLC D/B/A AMEDISYS NORTHWEST HOME HEALTH
  • Facility Address: 91 SAMMY MCGHEE BOULEVARD, SUITE 104
    JASPER, GA
    ZIP 30143
  • Facility Phone: 800 637-8793
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JASON SIMS
  • NPI Number: 1588612188
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D0695853
LAB Type Home Health Agency
Facility Name AMEDISYS NORTHWEST, LLC D/B/A AMEDISYS NORTHWEST HOME HEALTH
Street 91 SAMMY MCGHEE BOULEVARD, SUITE 104
City JASPER
State GA
ZIP 30143
Phone 800 637-8793
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