11D1066787 CLIA NUMBER - ADVENTA HOSPICE LLC DBA AMEDISYS HOSPICE OF LAWRENCEVILLE

Laboratory Demographics

  • CLIA Code: 11D1066787
  • Facility Name: ADVENTA HOSPICE LLC DBA AMEDISYS HOSPICE OF LAWRENCEVILLE
  • Facility Address: 595 HURRICANE SHOALS ROAD, NW, SUITE 201
    LAWRENCEVILLE, GA
    ZIP 30046
  • Facility Phone: 678 442-7338
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DANEILLE CIMBA
  • NPI Number: 1427173699
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D1066787
LAB Type Hospice
Facility Name ADVENTA HOSPICE LLC DBA AMEDISYS HOSPICE OF LAWRENCEVILLE
Street 595 HURRICANE SHOALS ROAD, NW, SUITE 201
City LAWRENCEVILLE
State GA
ZIP 30046
Phone 678 442-7338
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Hospice
Lab Director DANEILLE CIMBA

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