11D2183033 CLIA NUMBER - SUNCARE HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 11D2183033
  • Facility Name: SUNCARE HOSPICE, LLC
  • Facility Address: 804 TOWNE PARK DRIVE, SUITE 200
    RINCON, GA
    ZIP 31326
  • Facility Phone: 912 800-9288
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: STEPHEN C. HERTZOG
  • NPI Number: 1700427861
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2183033
LAB Type Hospice
Facility Name SUNCARE HOSPICE, LLC
Street 804 TOWNE PARK DRIVE, SUITE 200
City RINCON
State GA
ZIP 31326
Phone 912 800-9288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Hospice
Lab Director STEPHEN C. HERTZOG

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