11D1039314 CLIA NUMBER - OGEECHEE AREA HOSPICE

Laboratory Demographics

  • CLIA Code: 11D1039314
  • Facility Name: OGEECHEE AREA HOSPICE
  • Facility Address: 200 DONEHOO STREET
    STATESBORO, GA
    ZIP 30458
  • Facility Phone: 912 764-8441
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: VANESSA M. RAMIREZ
  • NPI Number: 1003813577
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D1039314
LAB Type Hospice
Facility Name OGEECHEE AREA HOSPICE
Street 200 DONEHOO STREET
City STATESBORO
State GA
ZIP 30458
Phone 912 764-8441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Hospice
Lab Director VANESSA M. RAMIREZ

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