11D0696329 CLIA NUMBER - LHCG CLXV, LLC DBA UNIV HOME HLTH SERVICES

Laboratory Demographics

  • CLIA Code: 11D0696329
  • Facility Name: LHCG CLXV, LLC DBA UNIV HOME HLTH SERVICES
  • Facility Address: 110 N LIBERTY STREET
    WAYNESBORO, GA
    ZIP 30830
  • Facility Phone: 706 554-7013
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CASEY MOYE
  • NPI Number: 1467063529
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D0696329
LAB Type Home Health Agency
Facility Name LHCG CLXV, LLC DBA UNIV HOME HLTH SERVICES
Street 110 N LIBERTY STREET
City WAYNESBORO
State GA
ZIP 30830
Phone 706 554-7013
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 CASEY MOYE

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