11D0885476 CLIA NUMBER - AMEDISYS NORTHWEST LLC DBA AMEDISYS HOME HEALTH OF GRIFFIN

Laboratory Demographics

  • CLIA Code: 11D0885476
  • Facility Name: AMEDISYS NORTHWEST LLC DBA AMEDISYS HOME HEALTH OF GRIFFIN
  • Facility Address: 244 ODELL ROAD, UNIT 1
    GRIFFIN, GA
    ZIP 30224
  • Facility Phone: 770 229-4962
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JASON SIMS
  • NPI Number: 1336197003
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D0885476
LAB Type Home Health Agency
Facility Name AMEDISYS NORTHWEST LLC DBA AMEDISYS HOME HEALTH OF GRIFFIN
Street 244 ODELL ROAD, UNIT 1
City GRIFFIN
State GA
ZIP 30224
Phone 770 229-4962
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Home Health Agency
Lab Director JASON SIMS

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