11D2167156 CLIA NUMBER - AUGUSTA HOME CARE SERVICES, LLC DBA TRINITY HOSPICE

Laboratory Demographics

  • CLIA Code: 11D2167156
  • Facility Name: AUGUSTA HOME CARE SERVICES, LLC DBA TRINITY HOSPICE
  • Facility Address: 4106 COLUMBIA ROAD, SUITE 201
    MARTINEZ, GA
    ZIP 30907
  • Facility Phone: 706 729-6000
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JAYVEN TIPADO
  • NPI Number: 1174991038
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2167156
LAB Type Hospice
Facility Name AUGUSTA HOME CARE SERVICES, LLC DBA TRINITY HOSPICE
Street 4106 COLUMBIA ROAD, SUITE 201
City MARTINEZ
State GA
ZIP 30907
Phone 706 729-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Hospice
Lab Director JAYVEN TIPADO

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