11D2260453 CLIA NUMBER - LHCG CCXXII, LLC DBA ARCHBOLD HOME HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 11D2260453
  • Facility Name: LHCG CCXXII, LLC DBA ARCHBOLD HOME HEALTH SERVICES
  • Facility Address: 400 OLD ALBANY ROAD
    THOMASVILLE, GA
    ZIP 31792
  • Facility Phone: 229 228-2200
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TAYLOR HOWELL
  • NPI Number: 1942957600
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2260453
LAB Type Home Health Agency
Facility Name LHCG CCXXII, LLC DBA ARCHBOLD HOME HEALTH SERVICES
Street 400 OLD ALBANY ROAD
City THOMASVILLE
State GA
ZIP 31792
Phone 229 228-2200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Home Health Agency
Lab Director TAYLOR HOWELL

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