11D2243759 CLIA NUMBER - S & S PRIVATE HOME CARE, LLC

Laboratory Demographics

  • CLIA Code: 11D2243759
  • Facility Name: S & S PRIVATE HOME CARE, LLC
  • Facility Address: 1208 WHISPERING PINES ROAD
    ALBANY, GA
    ZIP 31707
  • Facility Phone: 229 573-7477
  • Facility Type: Other - TEMP TESTING SITE
  • Facility Type: Waiver
  • Lab Director: SHAKITA RANDLE-LEWIS
  • NPI Number: 1073851333
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2243759
LAB Type Other - TEMP TESTING SITE
Facility Name S & S PRIVATE HOME CARE, LLC
Street 1208 WHISPERING PINES ROAD
City ALBANY
State GA
ZIP 31707
Phone 229 573-7477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Other - TEMP TESTING SITE
Lab Director SHAKITA RANDLE-LEWIS

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