11D0724086 CLIA NUMBER - ALTAMAHA HOMECARE INCORPORATED

Laboratory Demographics

  • CLIA Code: 11D0724086
  • Facility Name: ALTAMAHA HOMECARE INCORPORATED
  • Facility Address: 52 NORTH OAK STREET
    BAXLEY, GA
    ZIP 31513
  • Facility Phone: 912 367-4621
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DIANE B. BENNETT
  • NPI Number: 1336158336
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0724086
LAB Type Home Health Agency
Facility Name ALTAMAHA HOMECARE INCORPORATED
Street 52 NORTH OAK STREET
City BAXLEY
State GA
ZIP 31513
Phone 912 367-4621
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 DIANE B. BENNETT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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