11D0875661 CLIA NUMBER - JAMES O WELLS MD

Laboratory Demographics

  • CLIA Code: 11D0875661
  • Facility Name: JAMES O WELLS MD
  • Facility Address: 2300 HENDERSON MILL ROAD SUITE 421
    ATLANTA, GA
    ZIP 30345
  • Facility Phone: 770 934-2585
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES O. WELLS
  • NPI Number: 1023067725
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0875661
LAB Type Physician Office
Facility Name JAMES O WELLS MD
Street 2300 HENDERSON MILL ROAD SUITE 421
City ATLANTA
State GA
ZIP 30345
Phone 770 934-2585
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Physician Office
Lab Director JAMES O. WELLS

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