11D1034805 CLIA NUMBER - DYNAMIC HEALTH CARE SYSTEMS

Laboratory Demographics

CLIA Number: 11D1034805

Facility Name: DYNAMIC HEALTH CARE SYSTEMS

Facility Address:
2799 LAWRENCEVILLE HWY SUITE 106
DECATUR, GA
ZIP 30033
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Facility Phone Number: 470 375-3115

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1942305354

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	11D1034805
LAB Type	Hospice
Facility Name	DYNAMIC HEALTH CARE SYSTEMS
Street	2799 LAWRENCEVILLE HWY SUITE 106
City	DECATUR
State	GA
ZIP	30033
Phone	470 375-3115
CertificateType	4
CertificateEffectiveDate	10/3/2022
CertificateExpirationDate	10/2/2024
FacilityType	Waiver

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