11D2034041 CLIA NUMBER - ST JOSEPH HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 11D2034041
  • Facility Name: ST JOSEPH HOSPICE, LLC
  • Facility Address: 1231 AUGUSTA WEST PKWY
    AUGUSTA, GA
    ZIP 30909
  • Facility Phone: (706) 922-7480
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: TERRI L. WILLIAMS
  • NPI Number: 1275836082
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2034041
LAB Type Hospice
Facility Name ST JOSEPH HOSPICE, LLC
Street 1231 AUGUSTA WEST PKWY
City AUGUSTA
State GA
ZIP 30909
Phone 7069227480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2025
Certificate Expiration Date 12/14/2027
Facility Type Hospice
Lab Director TERRI L. WILLIAMS

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This page was last updated on: 5/18/2026