11D2210199 CLIA NUMBER - LEGACY HOSPICE GA DBA COASTAL HOSPICE OF GEORGIA

Laboratory Demographics

  • CLIA Code: 11D2210199
  • Facility Name: LEGACY HOSPICE GA DBA COASTAL HOSPICE OF GEORGIA
  • Facility Address: 106 SHOPPERS WAY, SUITE 111
    BRUNSWICK, GA
    ZIP 31525
  • Facility Phone: 912 434-9810
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: HEATHER NEWLIN
  • NPI Number: 1861158768
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2210199
LAB Type Hospice
Facility Name LEGACY HOSPICE GA DBA COASTAL HOSPICE OF GEORGIA
Street 106 SHOPPERS WAY, SUITE 111
City BRUNSWICK
State GA
ZIP 31525
Phone 912 434-9810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Hospice
Lab Director HEATHER NEWLIN

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