11D2057738 CLIA NUMBER - SHEPHERDCARE HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 11D2057738
  • Facility Name: SHEPHERDCARE HOSPICE, LLC
  • Facility Address: 1501-B KALAMOZOO DRIVE
    GRIFFIN, GA
    ZIP 30224
  • Facility Phone: (678) 603-1321
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ALLISON THOMPSON
  • NPI Number: 1932459328
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2057738
LAB Type Hospice
Facility Name SHEPHERDCARE HOSPICE, LLC
Street 1501-B KALAMOZOO DRIVE
City GRIFFIN
State GA
ZIP 30224
Phone 6786031321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Hospice
Lab Director ALLISON THOMPSON

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