11D2004024 CLIA NUMBER - HOMESTEAD HOSPICE OF CARTERSVILLE, LLC DBA TRADITIONS HEALTH

Home > CLIA Lookup > 11D2004024

Laboratory Demographics

CLIA Number: 11D2004024

Facility Name: HOMESTEAD HOSPICE OF CARTERSVILLE, LLC DBA TRADITIONS HEALTH

Facility Address:
100 MARKET PLACE BOULEVARD, SUITE 301
CARTERSVILLE, GA
ZIP 30121
Get Directions

Facility Phone Number: 678 290-4817

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1396074803

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	11D2004024
LAB Type	Hospice
Facility Name	HOMESTEAD HOSPICE OF CARTERSVILLE, LLC DBA TRADITIONS HEALTH
Street	100 MARKET PLACE BOULEVARD, SUITE 301
City	CARTERSVILLE
State	GA
ZIP	30121
Phone	678 290-4817
CertificateType	4
CertificateEffectiveDate	9/22/2022
CertificateExpirationDate	9/21/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024