11D2080980 CLIA NUMBER - AFFINIS HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 11D2080980
  • Facility Name: AFFINIS HOSPICE, LLC
  • Facility Address: 2945 WALTON WAY
    AUGUSTA, GA
    ZIP 30909
  • Facility Phone: 706 434-0421
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MINDY WILCHER
  • NPI Number: 1447536529
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2080980
LAB Type Hospice
Facility Name AFFINIS HOSPICE, LLC
Street 2945 WALTON WAY
City AUGUSTA
State GA
ZIP 30909
Phone 706 434-0421
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Hospice
Lab Director MINDY WILCHER

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