11D1056957 CLIA NUMBER - COMPASSUS -ATHENS

Laboratory Demographics

  • CLIA Code: 11D1056957
  • Facility Name: COMPASSUS -ATHENS
  • Facility Address: 2470 DANEILS BRIDGE ROAD, BLDG 100, SUITE 181
    ATHENS, GA
    ZIP 30606
  • Facility Phone: (706) 354-1707
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MS. GLORIA WILLETTE
  • NPI Number: 1285190116
  • Taxonomy: 207QH0002X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1056957
LAB Type Hospice
Facility Name COMPASSUS -ATHENS
Street 2470 DANEILS BRIDGE ROAD, BLDG 100, SUITE 181
City ATHENS
State GA
ZIP 30606
Phone 7063541707
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Hospice
Lab Director MS. GLORIA WILLETTE

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This page was last updated on: 5/18/2026