11D2025314 CLIA NUMBER - CREATIVE HOSPICE CARE, INCORPORATED DBA TRADITIONS HEALTH

Laboratory Demographics

  • CLIA Code: 11D2025314
  • Facility Name: CREATIVE HOSPICE CARE, INCORPORATED DBA TRADITIONS HEALTH
  • Facility Address: 1561 LENRU ROAD, SUITE A
    BOGART, GA
    ZIP 30622
  • Facility Phone: 770 725-2399
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MEGAN HOLDEN
  • NPI Number: 1437897956
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2025314
LAB Type Hospice
Facility Name CREATIVE HOSPICE CARE, INCORPORATED DBA TRADITIONS HEALTH
Street 1561 LENRU ROAD, SUITE A
City BOGART
State GA
ZIP 30622
Phone 770 725-2399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Hospice
Lab Director MEGAN HOLDEN

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