11D1055107 CLIA NUMBER - ADVENTA HOSPICE LLC DBA AMEDISYS HOSPICE OF DALTON

Laboratory Demographics

  • CLIA Code: 11D1055107
  • Facility Name: ADVENTA HOSPICE LLC DBA AMEDISYS HOSPICE OF DALTON
  • Facility Address: 1510 NORTH THORNTON AVENUE, SUITE 200
    DALTON, GA
    ZIP 30720
  • Facility Phone: 706 259-2518
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DANIELLE CIMBA
  • NPI Number: 1255380663
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D1055107
LAB Type Hospice
Facility Name ADVENTA HOSPICE LLC DBA AMEDISYS HOSPICE OF DALTON
Street 1510 NORTH THORNTON AVENUE, SUITE 200
City DALTON
State GA
ZIP 30720
Phone 706 259-2518
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Hospice
Lab Director DANIELLE CIMBA

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