11D2021180 CLIA NUMBER - BRISTOL HOSPICE - GEORGIA

Laboratory Demographics

  • CLIA Code: 11D2021180
  • Facility Name: BRISTOL HOSPICE - GEORGIA
  • Facility Address: 2849 PACES FERRY ROAD SE, SUITE 380
    ATLANTA, GA
    ZIP 30399
  • Facility Phone: 770 434-9530
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ALAN EINSTEIN
  • NPI Number: 1558663872
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2021180
LAB Type Hospice
Facility Name BRISTOL HOSPICE - GEORGIA
Street 2849 PACES FERRY ROAD SE, SUITE 380
City ATLANTA
State GA
ZIP 30399
Phone 770 434-9530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Hospice
Lab Director ALAN EINSTEIN

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