11D0880265 CLIA NUMBER - AMEDISYS GEORGIA LLC DBA AMEDISYS HOME HEALTH

Laboratory Demographics

CLIA Number: 11D0880265

Facility Name: AMEDISYS GEORGIA LLC DBA AMEDISYS HOME HEALTH

Facility Address:
17 PARK OF COMMERCE BOULEVARD, SUITE 100
SAVANNAH, GA
ZIP 31405
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Facility Phone Number: 912 233-9800

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1942483920

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 11D0880265
LAB Type Home Health Agency
Facility Name AMEDISYS GEORGIA LLC DBA AMEDISYS HOME HEALTH
Street 17 PARK OF COMMERCE BOULEVARD, SUITE 100
City SAVANNAH
State GA
ZIP 31405
Phone 912 233-9800
CertificateType 4
CertificateEffectiveDate 12/8/2023
CertificateExpirationDate 12/7/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024