11D0879155 CLIA NUMBER - PHOEBE HOME CARE

Laboratory Demographics

  • CLIA Code: 11D0879155
  • Facility Name: PHOEBE HOME CARE
  • Facility Address: 804 14TH AVENUE
    ALBANY, GA
    ZIP 31701
  • Facility Phone: 912 439-2109
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DARLEEN COX
  • NPI Number: 1790766863
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D0879155
LAB Type Home Health Agency
Facility Name PHOEBE HOME CARE
Street 804 14TH AVENUE
City ALBANY
State GA
ZIP 31701
Phone 912 439-2109
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Home Health Agency
Lab Director DARLEEN COX

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