11D2136952 CLIA NUMBER - SYMPONIA HOSPICE

Laboratory Demographics

  • CLIA Code: 11D2136952
  • Facility Name: SYMPONIA HOSPICE
  • Facility Address: 4288 MEMORIAL DRIVE, SUITE B
    DECATUR, GA
    ZIP 30032
  • Facility Phone: 770 456-5701
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: PAMELA HOUSER
  • NPI Number: 1750034609
  • Taxonomy: 207RH0002X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2136952
LAB Type Hospice
Facility Name SYMPONIA HOSPICE
Street 4288 MEMORIAL DRIVE, SUITE B
City DECATUR
State GA
ZIP 30032
Phone 770 456-5701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Hospice
Lab Director PAMELA HOUSER

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