11D2107328 CLIA NUMBER - GOLDEN RULE HOSPICE INC

Laboratory Demographics

  • CLIA Code: 11D2107328
  • Facility Name: GOLDEN RULE HOSPICE INC
  • Facility Address: 4808 MCGINNIS FERRY ROAD STE 602
    ALPHARETTA, GA
    ZIP 30005
  • Facility Phone: 470 395-6567
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SHELISA D. GLYNN
  • NPI Number: 1689047490
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2107328
LAB Type Hospice
Facility Name GOLDEN RULE HOSPICE INC
Street 4808 MCGINNIS FERRY ROAD STE 602
City ALPHARETTA
State GA
ZIP 30005
Phone 470 395-6567
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Hospice
Lab Director SHELISA D. GLYNN

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