11D2307013 CLIA NUMBER - GUIDING LIGHT HOSPICE SW, LLC

Laboratory Demographics

  • CLIA Code: 11D2307013
  • Facility Name: GUIDING LIGHT HOSPICE SW, LLC
  • Facility Address: 8 SAVANNAH STREET, STE 102
    NEWNAN, GA
    ZIP 30263
  • Facility Phone: 470 507-4822
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: AGNES L. PITTMAN
  • NPI Number: 1891537346
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2307013
LAB Type Hospice
Facility Name GUIDING LIGHT HOSPICE SW, LLC
Street 8 SAVANNAH STREET, STE 102
City NEWNAN
State GA
ZIP 30263
Phone 470 507-4822
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Hospice
Lab Director AGNES L. PITTMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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