11D2259289 CLIA NUMBER - RADIANT HOSPICE & PALLIATIVE CARE

Laboratory Demographics

  • CLIA Code: 11D2259289
  • Facility Name: RADIANT HOSPICE & PALLIATIVE CARE
  • Facility Address: 2340 PATRICK HENRY PKWY, SUITE 250
    MCDONOUGH, GA
    ZIP 30253
  • Facility Phone: 678 729-8761
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MARIA D. EASTON
  • NPI Number: 1649863846
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2259289
LAB Type Hospice
Facility Name RADIANT HOSPICE & PALLIATIVE CARE
Street 2340 PATRICK HENRY PKWY, SUITE 250
City MCDONOUGH
State GA
ZIP 30253
Phone 678 729-8761
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Hospice
Lab Director MARIA D. EASTON

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