11D1098161 CLIA NUMBER - WELLBROOK ENDOSCOPY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D1098161
  • Facility Name: WELLBROOK ENDOSCOPY CENTER, LLC
  • Facility Address: 7229 WHEAT STREET, NE
    COVINGTON, GA
    ZIP 30014
  • Facility Phone: 678 625-5132
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ABRAHAM S. MCINTOSH
  • NPI Number: 1518009430
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D1098161
LAB Type Ambulatory Surgery Center
Facility Name WELLBROOK ENDOSCOPY CENTER, LLC
Street 7229 WHEAT STREET, NE
City COVINGTON
State GA
ZIP 30014
Phone 678 625-5132
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Ambulatory Surgery Center
Lab Director ABRAHAM S. MCINTOSH

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