11D1008401 CLIA NUMBER - AMICITA HOME HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 11D1008401
  • Facility Name: AMICITA HOME HEALTH, LLC
  • Facility Address: 507 N JEFFERSON STREET
    ALBANY, GA
    ZIP 31701
  • Facility Phone: 229 435-2109
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DEBBRA GIBLERT
  • NPI Number: 1730168865
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D1008401
LAB Type Home Health Agency
Facility Name AMICITA HOME HEALTH, LLC
Street 507 N JEFFERSON STREET
City ALBANY
State GA
ZIP 31701
Phone 229 435-2109
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Home Health Agency
Lab Director DEBBRA GIBLERT

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