11D2147631 CLIA NUMBER - AB HOSPICE LLC, DBA AFFINITY HOSPICE

Laboratory Demographics

  • CLIA Code: 11D2147631
  • Facility Name: AB HOSPICE LLC, DBA AFFINITY HOSPICE
  • Facility Address: 1395 SOUTH MARIETTA PARKWAY, BLDG 400, SUITE 116
    MARIETTA, GA
    ZIP 30067
  • Facility Phone: 770 427-2700
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: OCTAVIA SAMBA
  • NPI Number: 1235654039
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2147631
LAB Type Hospice
Facility Name AB HOSPICE LLC, DBA AFFINITY HOSPICE
Street 1395 SOUTH MARIETTA PARKWAY, BLDG 400, SUITE 116
City MARIETTA
State GA
ZIP 30067
Phone 770 427-2700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Hospice
Lab Director OCTAVIA SAMBA

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