11D2242313 CLIA NUMBER - PRIMECARE HOSPICE & PALLIATIVE, INC

Laboratory Demographics

  • CLIA Code: 11D2242313
  • Facility Name: PRIMECARE HOSPICE & PALLIATIVE, INC
  • Facility Address: 1735 IRWINTON ROAD
    MILLEDGEVILLE, GA
    ZIP 31061
  • Facility Phone: 478 733-3729
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LOUISE C. BURGAMY
  • NPI Number: 1427597350
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2242313
LAB Type Hospice
Facility Name PRIMECARE HOSPICE & PALLIATIVE, INC
Street 1735 IRWINTON ROAD
City MILLEDGEVILLE
State GA
ZIP 31061
Phone 478 733-3729
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 LOUISE C. BURGAMY

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