11D1048129 CLIA NUMBER - CENTER FOR BLACK WOMENS WELLNESS INCOR

Laboratory Demographics

  • CLIA Code: 11D1048129
  • Facility Name: CENTER FOR BLACK WOMENS WELLNESS INCOR
  • Facility Address: 477 WINDSOR STREET, ROOM 309
    ATLANTA, GA
    ZIP 30312
  • Facility Phone: 404 688-9202
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: MICHELLE J. STAPLES-HOME
  • NPI Number: 1669813580
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D1048129
LAB Type Community Clinic
Facility Name CENTER FOR BLACK WOMENS WELLNESS INCOR
Street 477 WINDSOR STREET, ROOM 309
City ATLANTA
State GA
ZIP 30312
Phone 404 688-9202
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 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Community Clinic
Lab Director MICHELLE J. STAPLES-HOME

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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