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11D2212479 CLIA NUMBER - COMFORT AT HOME

Laboratory Demographics

CLIA Number: 11D2212479

Facility Name: COMFORT AT HOME

Facility Address:
3540 WHEELER ROAD, SUITE 201
AUGUSTA, GA
ZIP 30909
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Facility Phone Number: 706 945-2334

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1720577802

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 11D2212479
LAB Type Home Health Agency
Facility Name COMFORT AT HOME
Street 3540 WHEELER ROAD, SUITE 201
City AUGUSTA
State GA
ZIP 30909
Phone 706 945-2334
CertificateType 4
CertificateEffectiveDate 2/4/2023
CertificateExpirationDate 2/3/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024