11D2269931 CLIA NUMBER - LHCG CCXXVII, LLC DBA THREE RIVERS HOME HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 11D2269931
  • Facility Name: LHCG CCXXVII, LLC DBA THREE RIVERS HOME HEALTH SERVICES
  • Facility Address: 1760 BASS ROAD, SUITE 103
    MACON, GA
    ZIP 31210
  • Facility Phone: 478 405-1474
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KIMBER LYLES
  • NPI Number: 1962139675
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2269931
LAB Type Home Health Agency
Facility Name LHCG CCXXVII, LLC DBA THREE RIVERS HOME HEALTH SERVICES
Street 1760 BASS ROAD, SUITE 103
City MACON
State GA
ZIP 31210
Phone 478 405-1474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Home Health Agency
Lab Director KIMBER LYLES

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