11D2242310 CLIA NUMBER - BLUE RIDGE HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 11D2242310
  • Facility Name: BLUE RIDGE HOSPICE, INC
  • Facility Address: 1558 MARIETTA HIGHWAY, SUITE 210
    CANTON, GA
    ZIP 30114
  • Facility Phone: 470 259-0444
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SANDRA WINGARD
  • NPI Number: 1427641067
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2242310
LAB Type Hospice
Facility Name BLUE RIDGE HOSPICE, INC
Street 1558 MARIETTA HIGHWAY, SUITE 210
City CANTON
State GA
ZIP 30114
Phone 470 259-0444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Hospice
Lab Director SANDRA WINGARD

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