11D2014846 CLIA NUMBER - HERITAGE HOSPICE

Laboratory Demographics

  • CLIA Code: 11D2014846
  • Facility Name: HERITAGE HOSPICE
  • Facility Address: 3315 HILLTOP DRIVE
    MARIETTA, GA
    ZIP 30066
  • Facility Phone: 770 423-5959
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SHANNON COLLINS
  • NPI Number: 1275595415
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2014846
LAB Type Hospice
Facility Name HERITAGE HOSPICE
Street 3315 HILLTOP DRIVE
City MARIETTA
State GA
ZIP 30066
Phone 770 423-5959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Hospice
Lab Director SHANNON COLLINS

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