11D0877538 CLIA NUMBER - GEORGIA MOUNTAINS HOSPICE INC

Laboratory Demographics

  • CLIA Code: 11D0877538
  • Facility Name: GEORGIA MOUNTAINS HOSPICE INC
  • Facility Address: 70 CARING WAY
    JASPER, GA
    ZIP 30143
  • Facility Phone: 706 692-3125
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ALEXANDRIA BLANTON
  • NPI Number: 1295767291
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D0877538
LAB Type Hospice
Facility Name GEORGIA MOUNTAINS HOSPICE INC
Street 70 CARING WAY
City JASPER
State GA
ZIP 30143
Phone 706 692-3125
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Hospice
Lab Director ALEXANDRIA BLANTON

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