11D2323714 CLIA NUMBER - GUARDIAN ANGELS HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 11D2323714
  • Facility Name: GUARDIAN ANGELS HOSPICE LLC
  • Facility Address: 3469 LAWRENCEVILLE HIGHWAY, SUITE 205
    TUCKER, GA
    ZIP 30084
  • Facility Phone: 470 242-5682
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: AFIWA AWESSO
  • NPI Number: 1144772435
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 11D2323714
LAB Type Hospice
Facility Name GUARDIAN ANGELS HOSPICE LLC
Street 3469 LAWRENCEVILLE HIGHWAY, SUITE 205
City TUCKER
State GA
ZIP 30084
Phone 470 242-5682
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Hospice
Lab Director AFIWA AWESSO

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