11D2020099 CLIA NUMBER - NORTH STAR HOSPICE

Laboratory Demographics

  • CLIA Code: 11D2020099
  • Facility Name: NORTH STAR HOSPICE
  • Facility Address: 138 MOUNTAIN BROOK DRIVE, SUITE 102
    CANTON, GA
    ZIP 30114
  • Facility Phone: 706 403-4033
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SANDY SCHERRER
  • NPI Number: 1497061709
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2020099
LAB Type Hospice
Facility Name NORTH STAR HOSPICE
Street 138 MOUNTAIN BROOK DRIVE, SUITE 102
City CANTON
State GA
ZIP 30114
Phone 706 403-4033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Hospice
Lab Director SANDY SCHERRER

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