11D2212897 CLIA NUMBER - FAMILY FIRST HOSPICE & PALLIATIVE CARE, LLC

Laboratory Demographics

  • CLIA Code: 11D2212897
  • Facility Name: FAMILY FIRST HOSPICE & PALLIATIVE CARE, LLC
  • Facility Address: 483 INDIAN TRAIL-LILBURN ROAD NW
    LILBURN, GA
    ZIP 30047
  • Facility Phone: 678 269-4743
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: BELLIER MARTINE
  • NPI Number: 1679769582
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2212897
LAB Type Hospice
Facility Name FAMILY FIRST HOSPICE & PALLIATIVE CARE, LLC
Street 483 INDIAN TRAIL-LILBURN ROAD NW
City LILBURN
State GA
ZIP 30047
Phone 678 269-4743
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Hospice
Lab Director BELLIER MARTINE

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