11D2080922 CLIA NUMBER - CARESOUTH HOSPICE, LLC DBA ENHABIT HOSPICE

Laboratory Demographics

  • CLIA Code: 11D2080922
  • Facility Name: CARESOUTH HOSPICE, LLC DBA ENHABIT HOSPICE
  • Facility Address: 3920 ARKWRIGHT ROAD, SUITE 325A
    MACON, GA
    ZIP 31210
  • Facility Phone: 478 474-1155
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: EVELYNE DENEICE POOLE
  • NPI Number: 1609210491
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2080922
LAB Type Hospice
Facility Name CARESOUTH HOSPICE, LLC DBA ENHABIT HOSPICE
Street 3920 ARKWRIGHT ROAD, SUITE 325A
City MACON
State GA
ZIP 31210
Phone 478 474-1155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Hospice
Lab Director EVELYNE DENEICE POOLE

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