11D2013379 CLIA NUMBER - LHCG CLXI, LLC DBA NORTHEAST GEORGIA HOMEHEALTH

Laboratory Demographics

  • CLIA Code: 11D2013379
  • Facility Name: LHCG CLXI, LLC DBA NORTHEAST GEORGIA HOMEHEALTH
  • Facility Address: 915 INTERSTATE RIDGE DRIVE, SUITE A1
    GAINESVILLE, GA
    ZIP 30501
  • Facility Phone: 770 297-0041
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SANDRA BROWN
  • NPI Number: 1013534171
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2013379
LAB Type Home Health Agency
Facility Name LHCG CLXI, LLC DBA NORTHEAST GEORGIA HOMEHEALTH
Street 915 INTERSTATE RIDGE DRIVE, SUITE A1
City GAINESVILLE
State GA
ZIP 30501
Phone 770 297-0041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Home Health Agency
Lab Director SANDRA BROWN

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