11D2299313 CLIA NUMBER - ITS HOME LLC

Laboratory Demographics

  • CLIA Code: 11D2299313
  • Facility Name: ITS HOME LLC
  • Facility Address: 336 ASHFORD CIR
    DUNWOODY, GA
    ZIP 30338
  • Facility Phone: 678 404-7055
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SOMI KIM
  • NPI Number: 1740960343
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2299313
LAB Type Home Health Agency
Facility Name ITS HOME LLC
Street 336 ASHFORD CIR
City DUNWOODY
State GA
ZIP 30338
Phone 678 404-7055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Home Health Agency
Lab Director SOMI KIM

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