11D2227516 CLIA NUMBER - CHAMPION HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 11D2227516
  • Facility Name: CHAMPION HOSPICE, INC
  • Facility Address: 2635 WALL STREET SE SUITE 230
    CONYERS, GA
    ZIP 30013
  • Facility Phone: 404 924-6263
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KATHY MICHEL
  • NPI Number: 1184242026
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2227516
LAB Type Hospice
Facility Name CHAMPION HOSPICE, INC
Street 2635 WALL STREET SE SUITE 230
City CONYERS
State GA
ZIP 30013
Phone 404 924-6263
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Hospice
Lab Director KATHY MICHEL

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