11D0700797 CLIA NUMBER - AMEDISYS GA, LLC D/B/A AMEDISYS HOME HEALTH

Laboratory Demographics

  • CLIA Code: 11D0700797
  • Facility Name: AMEDISYS GA, LLC D/B/A AMEDISYS HOME HEALTH
  • Facility Address: 201 MAPLE DRIVE
    VIDALIA, GA
    ZIP 30474
  • Facility Phone: 912 537-9004
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JASON SIMS
  • NPI Number: 1366627986
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D0700797
LAB Type Home Health Agency
Facility Name AMEDISYS GA, LLC D/B/A AMEDISYS HOME HEALTH
Street 201 MAPLE DRIVE
City VIDALIA
State GA
ZIP 30474
Phone 912 537-9004
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