11D2275885 CLIA NUMBER - PIEDMONT HOSPICE & PALLIATIVE INC

Laboratory Demographics

CLIA Number: 11D2275885

Facility Name: PIEDMONT HOSPICE & PALLIATIVE INC

Facility Address:
1031 CAMBRIDGE SQUARE, SUITE G
ALPHARETTA, GA
ZIP 30009
Get Directions

Facility Phone Number: 470 895-0501

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1881315000

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	11D2275885
LAB Type	Hospice
Facility Name	PIEDMONT HOSPICE & PALLIATIVE INC
Street	1031 CAMBRIDGE SQUARE, SUITE G
City	ALPHARETTA
State	GA
ZIP	30009
Phone	470 895-0501
CertificateType	4
CertificateEffectiveDate	1/31/2023
CertificateExpirationDate	1/30/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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