11D2267241 CLIA NUMBER - PRIORITY HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 11D2267241
  • Facility Name: PRIORITY HOSPICE LLC
  • Facility Address: 101 DEVANT STREET, SUITE 306
    FAYETTEVILLE, GA
    ZIP 30214
  • Facility Phone: 678 545-4399
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: EBONY M. PHILLIPS
  • NPI Number: 1659027944
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2267241
LAB Type Hospice
Facility Name PRIORITY HOSPICE LLC
Street 101 DEVANT STREET, SUITE 306
City FAYETTEVILLE
State GA
ZIP 30214
Phone 678 545-4399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Hospice
Lab Director EBONY M. PHILLIPS

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