11D1073892 CLIA NUMBER - COMPLETE CARE AT HOME, LLC

Laboratory Demographics

  • CLIA Code: 11D1073892
  • Facility Name: COMPLETE CARE AT HOME, LLC
  • Facility Address: 11 DUNWOODY PARK, SUITE 140
    DUNWOODY, GA
    ZIP 30338
  • Facility Phone: 770 551-9533
  • Facility Type: Other - DCH LIC HOME CARE PROVIDE
  • Facility Type: Waiver
  • Lab Director: LISA M. REISMAN
  • NPI Number: 1124487376
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 11D1073892
LAB Type Other - DCH LIC HOME CARE PROVIDE
Facility Name COMPLETE CARE AT HOME, LLC
Street 11 DUNWOODY PARK, SUITE 140
City DUNWOODY
State GA
ZIP 30338
Phone 770 551-9533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Other - DCH LIC HOME CARE PROVIDE
Lab Director LISA M. REISMAN

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