11D2075824 CLIA NUMBER - AFFINIS HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 11D2075824
  • Facility Name: AFFINIS HOSPICE, LLC
  • Facility Address: 1612 MARS HILL ROAD SUITE A
    WATKINSVILLE, GA
    ZIP 30677
  • Facility Phone: 706 705-6000
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SARAH A. THOMPSON
  • NPI Number: 1942634746
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2075824
LAB Type Hospice
Facility Name AFFINIS HOSPICE, LLC
Street 1612 MARS HILL ROAD SUITE A
City WATKINSVILLE
State GA
ZIP 30677
Phone 706 705-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Hospice
Lab Director SARAH A. THOMPSON

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