11D2029591 CLIA NUMBER - CREATIVE HOSPICE CARE, INC DBA TRADITIONS HEALTH

Laboratory Demographics

  • CLIA Code: 11D2029591
  • Facility Name: CREATIVE HOSPICE CARE, INC DBA TRADITIONS HEALTH
  • Facility Address: 794 MCDONOUGH ROAD, SUITE 106 - 107
    JACKSON, GA
    ZIP 30233
  • Facility Phone: 770 775-0100
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: AMY CROWDER
  • NPI Number: 1003192477
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2029591
LAB Type Hospice
Facility Name CREATIVE HOSPICE CARE, INC DBA TRADITIONS HEALTH
Street 794 MCDONOUGH ROAD, SUITE 106 - 107
City JACKSON
State GA
ZIP 30233
Phone 770 775-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Hospice
Lab Director AMY CROWDER

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