11D1048677 CLIA NUMBER - ALLIANCE HOSPICE

Laboratory Demographics

  • CLIA Code: 11D1048677
  • Facility Name: ALLIANCE HOSPICE
  • Facility Address: 3475 RIVERWATCH PARKWAY, SUITE 320
    MARTINEZ, GA
    ZIP 30907
  • Facility Phone: 706 447-2461
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RHONDA HALL
  • NPI Number: 1043303753
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D1048677
LAB Type Hospice
Facility Name ALLIANCE HOSPICE
Street 3475 RIVERWATCH PARKWAY, SUITE 320
City MARTINEZ
State GA
ZIP 30907
Phone 706 447-2461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Hospice
Lab Director RHONDA HALL

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