11D2160145 CLIA NUMBER - AFFINIS HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 11D2160145
  • Facility Name: AFFINIS HOSPICE, LLC
  • Facility Address: 110 STONE BROOK DRIVE
    GRAY, GA
    ZIP 31032
  • Facility Phone: 478 936-8959
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CHERYL L. FLINT
  • NPI Number: 1326515719
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2160145
LAB Type Hospice
Facility Name AFFINIS HOSPICE, LLC
Street 110 STONE BROOK DRIVE
City GRAY
State GA
ZIP 31032
Phone 478 936-8959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Hospice
Lab Director CHERYL L. FLINT

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