11D2103329 CLIA NUMBER - SB HEALTHCARE

Laboratory Demographics

  • CLIA Code: 11D2103329
  • Facility Name: SB HEALTHCARE
  • Facility Address: 2000 RIVERSIDE PKWY, SUITE 107
    LAWRENCEVILLE, GA
    ZIP 30043
  • Facility Phone: 205 949-0400
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KIM LARUE
  • NPI Number: 1003273095
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2103329
LAB Type Hospice
Facility Name SB HEALTHCARE
Street 2000 RIVERSIDE PKWY, SUITE 107
City LAWRENCEVILLE
State GA
ZIP 30043
Phone 205 949-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2025
Certificate Expiration Date 10/8/2027
Facility Type Hospice
Lab Director KIM LARUE

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