11D2268238 CLIA NUMBER - BRIGHT HOSPICE DBA FAMILY HOSPICE

Laboratory Demographics

CLIA Number: 11D2268238

Facility Name: BRIGHT HOSPICE DBA FAMILY HOSPICE

Facility Address:
624 S MILLEDGE AVENUE, SUITE 101
ATHENS, GA
ZIP 30605
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Facility Phone Number: 706 419-9200

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1619458973

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	11D2268238
LAB Type	Hospice
Facility Name	BRIGHT HOSPICE DBA FAMILY HOSPICE
Street	624 S MILLEDGE AVENUE, SUITE 101
City	ATHENS
State	GA
ZIP	30605
Phone	706 419-9200
CertificateType	4
CertificateEffectiveDate	9/8/2022
CertificateExpirationDate	9/7/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024