11D2103827 CLIA NUMBER - CAPSTONE HOSPICE

Laboratory Demographics

  • CLIA Code: 11D2103827
  • Facility Name: CAPSTONE HOSPICE
  • Facility Address: 5550 PEACHTREE PKWY, SUITE 150
    PEACHTREE CORNERS, GA
    ZIP 30092
  • Facility Phone: 770 558-6202
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: HUGH HENDERSON
  • NPI Number: 1598134975
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2103827
LAB Type Hospice
Facility Name CAPSTONE HOSPICE
Street 5550 PEACHTREE PKWY, SUITE 150
City PEACHTREE CORNERS
State GA
ZIP 30092
Phone 770 558-6202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Hospice
Lab Director HUGH HENDERSON

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