Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
11D2314512
|
|
Clinical laboratory number
|
|
Lab Name
|
LEGACY HOSPICE OF SOUTH GA LLC DBA COASTAL HOSPICE
|
|
Laboratory Name
|
|
Lab Type
|
Hospice
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
912-527-8602
|
|
Laboratory telephone number
|
|
Fax
|
912-527-8671
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
205 S TALLAHASSEE, STE A
|
|
Primary location adress line
|
|
City
|
HAZLEHURST
|
|
Primary location city name
|
|
State
|
GA
|
|
Primary location state name
|
|
Zip
|
31539
|
|
Primary location postal code
|