11D0856430 CLIA NUMBER - WELLSTAR HOME HEALTH

Laboratory Demographics

  • CLIA Code: 11D0856430
  • Facility Name: WELLSTAR HOME HEALTH
  • Facility Address: 1800 PARKWAY PLACE, SE, SUITE 720
    MARIETTA, GA
    ZIP 30067
  • Facility Phone: 678 458-2369
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SESHADRI CHAKRAVARTHI
  • NPI Number: 1437219656
  • Taxonomy: 305S00000X - Point of Service

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CLIA Record

Field Name Field Value
CLIA Number 11D0856430
LAB Type Home Health Agency
Facility Name WELLSTAR HOME HEALTH
Street 1800 PARKWAY PLACE, SE, SUITE 720
City MARIETTA
State GA
ZIP 30067
Phone 678 458-2369
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Home Health Agency
Lab Director SESHADRI CHAKRAVARTHI

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