11D2313204 CLIA NUMBER - SAHA HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 11D2313204
  • Facility Name: SAHA HOME CARE LLC
  • Facility Address: 3384 CASTLEBERRY VILLAGE CIRCLE
    CUMMING, GA
    ZIP 30040
  • Facility Phone: 770 402-0207
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MENDEZ MOLINA LUCERO
  • NPI Number: 1821829672
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2313204
LAB Type Home Health Agency
Facility Name SAHA HOME CARE LLC
Street 3384 CASTLEBERRY VILLAGE CIRCLE
City CUMMING
State GA
ZIP 30040
Phone 770 402-0207
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Home Health Agency
Lab Director MENDEZ MOLINA LUCERO

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