11D2255265 CLIA NUMBER - ETERNAL HOPE HEALTHCARE

Laboratory Demographics

  • CLIA Code: 11D2255265
  • Facility Name: ETERNAL HOPE HEALTHCARE
  • Facility Address: 123 N 18TH STREET
    GRIFFIN, GA
    ZIP 30223
  • Facility Phone: 770 229-4673
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. FOLSER
  • NPI Number: 1861630543
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2255265
LAB Type Hospice
Facility Name ETERNAL HOPE HEALTHCARE
Street 123 N 18TH STREET
City GRIFFIN
State GA
ZIP 30223
Phone 770 229-4673
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Hospice
Lab Director JENNIFER L. FOLSER

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