11D0876448 CLIA NUMBER - AMEDISYS GA LLC DBA COOSA VALLEY HOME HLTH AN AMEDISYS COMPANY

Laboratory Demographics

  • CLIA Code: 11D0876448
  • Facility Name: AMEDISYS GA LLC DBA COOSA VALLEY HOME HLTH AN AMEDISYS COMPANY
  • Facility Address: 800 BROAD STREET, SUITE 202
    ROME, GA
    ZIP 30161
  • Facility Phone: 706 291-8867
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JASON SIMS
  • NPI Number: 1285682955
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0876448
LAB Type Home Health Agency
Facility Name AMEDISYS GA LLC DBA COOSA VALLEY HOME HLTH AN AMEDISYS COMPANY
Street 800 BROAD STREET, SUITE 202
City ROME
State GA
ZIP 30161
Phone 706 291-8867
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Home Health Agency
Lab Director JASON SIMS

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