11D1066568 CLIA NUMBER - SILVERLEAF HOSPICE DBA BRIDGE WAY HOSPICE

Laboratory Demographics

  • CLIA Code: 11D1066568
  • Facility Name: SILVERLEAF HOSPICE DBA BRIDGE WAY HOSPICE
  • Facility Address: 105 WEST PARK DRIVE, SUITE A
    ATHENS, GA
    ZIP 30606
  • Facility Phone: 706 546-0286
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MATT C. HOWELL
  • NPI Number: 1144770199
  • Taxonomy: 207RH0002X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1066568
LAB Type Hospice
Facility Name SILVERLEAF HOSPICE DBA BRIDGE WAY HOSPICE
Street 105 WEST PARK DRIVE, SUITE A
City ATHENS
State GA
ZIP 30606
Phone 706 546-0286
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Hospice
Lab Director MATT C. HOWELL

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