11D2008900 CLIA NUMBER - PIEDMONT URGENTCARE BY WELLSTREET

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Laboratory Demographics

CLIA Number: 11D2008900

Facility Name: PIEDMONT URGENTCARE BY WELLSTREET

Facility Address:
13081 HIGHWAY 9
ALPHARETTA, GA
ZIP 30004
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Facility Phone Number: 770 809-3036

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1124532916

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	11D2008900
LAB Type	Other - URGENT CARE
Facility Name	PIEDMONT URGENTCARE BY WELLSTREET
Street	13081 HIGHWAY 9
City	ALPHARETTA
State	GA
ZIP	30004
Phone	770 809-3036
CertificateType	4
CertificateEffectiveDate	6/22/2022
CertificateExpirationDate	6/21/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024