11D2089254 CLIA NUMBER - CREATIVE HOSPICE CARE, INC DBA TRADITIONS HEALTH

Laboratory Demographics

  • CLIA Code: 11D2089254
  • Facility Name: CREATIVE HOSPICE CARE, INC DBA TRADITIONS HEALTH
  • Facility Address: 1080 HOLCOMB BRIDGE ROAD, BLDG 200, SUITE 100
    ROSWELL, GA
    ZIP 30076
  • Facility Phone: (770) 797-9300
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LORI KOYUNCU
  • NPI Number: 1437897956
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2089254
LAB Type Hospice
Facility Name CREATIVE HOSPICE CARE, INC DBA TRADITIONS HEALTH
Street 1080 HOLCOMB BRIDGE ROAD, BLDG 200, SUITE 100
City ROSWELL
State GA
ZIP 30076
Phone 7707979300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Hospice
Lab Director LORI KOYUNCU

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