11D2101907 CLIA NUMBER - GHC-JESUP, LLC DBA GEORGIA HOSPICE CARE

Laboratory Demographics

  • CLIA Code: 11D2101907
  • Facility Name: GHC-JESUP, LLC DBA GEORGIA HOSPICE CARE
  • Facility Address: 141 SOUTH MACON STREET
    JESUP, GA
    ZIP 31545
  • Facility Phone: 912 427-3202
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LINDSAY LONG
  • NPI Number: 1831597616
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2101907
LAB Type Hospice
Facility Name GHC-JESUP, LLC DBA GEORGIA HOSPICE CARE
Street 141 SOUTH MACON STREET
City JESUP
State GA
ZIP 31545
Phone 912 427-3202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Hospice
Lab Director LINDSAY LONG

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