11D2161803 CLIA NUMBER - GHC-BRUNSWICK, LLC DBA GEORGIA HOSPICE CARE

Laboratory Demographics

  • CLIA Code: 11D2161803
  • Facility Name: GHC-BRUNSWICK, LLC DBA GEORGIA HOSPICE CARE
  • Facility Address: 777 GLOUCESTER STREET, SUITE 303
    BRUNSWICK, GA
    ZIP 31520
  • Facility Phone: 912 574-7833
  • Facility Type: Health Main. Organization
  • Facility Type: Waiver
  • Lab Director: MICHELLE ALTMAN
  • NPI Number: 1912548447
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2161803
LAB Type Health Main. Organization
Facility Name GHC-BRUNSWICK, LLC DBA GEORGIA HOSPICE CARE
Street 777 GLOUCESTER STREET, SUITE 303
City BRUNSWICK
State GA
ZIP 31520
Phone 912 574-7833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Health Main. Organization
Lab Director MICHELLE ALTMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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