11D0700800 CLIA NUMBER - AMEDISYS GEORGIA, LLC DBA AMEDISYS HOME HEALTH

Laboratory Demographics

  • CLIA Code: 11D0700800
  • Facility Name: AMEDISYS GEORGIA, LLC DBA AMEDISYS HOME HEALTH
  • Facility Address: 72 KENT ROAD, SUITE 3
    TIFTON, GA
    ZIP 31794
  • Facility Phone: 229 386-0665
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JASON SIMS
  • NPI Number: 1356524359
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D0700800
LAB Type Home Health Agency
Facility Name AMEDISYS GEORGIA, LLC DBA AMEDISYS HOME HEALTH
Street 72 KENT ROAD, SUITE 3
City TIFTON
State GA
ZIP 31794
Phone 229 386-0665
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