11D2193323 CLIA NUMBER - WILLOWBROOK HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 11D2193323
  • Facility Name: WILLOWBROOK HOSPICE, LLC
  • Facility Address: 162 W. MAIN STREET SUITE 306
    CARTERSVILLE, GA
    ZIP 30120
  • Facility Phone: 470 315-4728
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: STEPHANIE FOSTER
  • NPI Number: 1992355796
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2193323
LAB Type Hospice
Facility Name WILLOWBROOK HOSPICE, LLC
Street 162 W. MAIN STREET SUITE 306
City CARTERSVILLE
State GA
ZIP 30120
Phone 470 315-4728
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Hospice
Lab Director STEPHANIE FOSTER

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