11D1077238 CLIA NUMBER - AFFINIS HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 11D1077238
  • Facility Name: AFFINIS HOSPICE, LLC
  • Facility Address: 162 WEST MAIN STREET, SUITE 104
    CARTERSVILLE, GA
    ZIP 30120
  • Facility Phone: 678 689-2343
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SARAH A. THOMPSON
  • NPI Number: 1669663506
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D1077238
LAB Type Hospice
Facility Name AFFINIS HOSPICE, LLC
Street 162 WEST MAIN STREET, SUITE 104
City CARTERSVILLE
State GA
ZIP 30120
Phone 678 689-2343
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Hospice
Lab Director SARAH A. THOMPSON

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This page was last updated on: 3/20/2025