11D2262507 CLIA NUMBER - PATHWAYS HOSPICE

Laboratory Demographics

  • CLIA Code: 11D2262507
  • Facility Name: PATHWAYS HOSPICE
  • Facility Address: 704 BREEDLOVE DRIVE, SUITE A
    MONROE, GA
    ZIP 30655
  • Facility Phone: 470 816-1600
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KATHY E. AHLBERG
  • NPI Number: 1881364750
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2262507
LAB Type Hospice
Facility Name PATHWAYS HOSPICE
Street 704 BREEDLOVE DRIVE, SUITE A
City MONROE
State GA
ZIP 30655
Phone 470 816-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Hospice
Lab Director KATHY E. AHLBERG

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