11D1040721 CLIA NUMBER - COMPASSUS - KENNESAW

Laboratory Demographics

  • CLIA Code: 11D1040721
  • Facility Name: COMPASSUS - KENNESAW
  • Facility Address: 300 CHASTAIN CENTER BOULEVARD, SUITE 345
    KENNESAW, GA
    ZIP 30144
  • Facility Phone: 770 218-1997
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: FARRAH HARMOND
  • NPI Number: 1497709802
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D1040721
LAB Type Hospice
Facility Name COMPASSUS - KENNESAW
Street 300 CHASTAIN CENTER BOULEVARD, SUITE 345
City KENNESAW
State GA
ZIP 30144
Phone 770 218-1997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Hospice
Lab Director FARRAH HARMOND

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This page was last updated on: 6/4/2025