11D2143818 CLIA NUMBER - VISTACARE USA, LLC, DBA GENTIVA

Laboratory Demographics

  • CLIA Code: 11D2143818
  • Facility Name: VISTACARE USA, LLC, DBA GENTIVA
  • Facility Address: 700 BROOKSTONE CENTRE PARKWAY, SUITE 100
    COLUMBUS, GA
    ZIP 31904
  • Facility Phone: 704 664-2876
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE BEASLEY
  • NPI Number: 1043257934
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2143818
LAB Type Hospice
Facility Name VISTACARE USA, LLC, DBA GENTIVA
Street 700 BROOKSTONE CENTRE PARKWAY, SUITE 100
City COLUMBUS
State GA
ZIP 31904
Phone 704 664-2876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Hospice
Lab Director SELECE BEASLEY

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