11D2123211 CLIA NUMBER - AFFINIS HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 11D2123211
  • Facility Name: AFFINIS HOSPICE, LLC
  • Facility Address: 1705 BOULEVARD SQUARE, SUITE C
    WAYCROSS, GA
    ZIP 31501
  • Facility Phone: 912 916-9795
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SARAH A. THOMPSON
  • NPI Number: 1740656180
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2123211
LAB Type Hospice
Facility Name AFFINIS HOSPICE, LLC
Street 1705 BOULEVARD SQUARE, SUITE C
City WAYCROSS
State GA
ZIP 31501
Phone 912 916-9795
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Hospice
Lab Director SARAH A. THOMPSON

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