11D0885491 CLIA NUMBER - MOUNTAIN HOME HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 11D0885491
  • Facility Name: MOUNTAIN HOME HEALTH SERVICES
  • Facility Address: 516 BLUE RIDGE STREET, SUITE A
    BLAIRSVILLE, GA
    ZIP 30512
  • Facility Phone: 706 745-5101
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CHRISTA RICH
  • NPI Number: 1851831705
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D0885491
LAB Type Home Health Agency
Facility Name MOUNTAIN HOME HEALTH SERVICES
Street 516 BLUE RIDGE STREET, SUITE A
City BLAIRSVILLE
State GA
ZIP 30512
Phone 706 745-5101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Home Health Agency
Lab Director CHRISTA RICH

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This page was last updated on: 3/20/2025