11D2287741 CLIA NUMBER - SACRED JOURNEY HOSPICE-DALTON

Laboratory Demographics

  • CLIA Code: 11D2287741
  • Facility Name: SACRED JOURNEY HOSPICE-DALTON
  • Facility Address: 101 E CRAWFORD STREET, SUITE 300
    DALTON, GA
    ZIP 30720
  • Facility Phone: 678 583-0717
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: AMANDA NEMYER
  • NPI Number: 1801462361
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2287741
LAB Type Hospice
Facility Name SACRED JOURNEY HOSPICE-DALTON
Street 101 E CRAWFORD STREET, SUITE 300
City DALTON
State GA
ZIP 30720
Phone 678 583-0717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Hospice
Lab Director AMANDA NEMYER

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