11D1090232 CLIA NUMBER - LONGLEAF HOSPICE

Laboratory Demographics

  • CLIA Code: 11D1090232
  • Facility Name: LONGLEAF HOSPICE
  • Facility Address: 2310 PARKLAKE DRIVE, SUITE 325
    ATLANTA, GA
    ZIP 30345
  • Facility Phone: 770 939-9179
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JONATHAN PERKINS
  • NPI Number: 1427206960
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D1090232
LAB Type Hospice
Facility Name LONGLEAF HOSPICE
Street 2310 PARKLAKE DRIVE, SUITE 325
City ATLANTA
State GA
ZIP 30345
Phone 770 939-9179
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Hospice
Lab Director JONATHAN PERKINS

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