11D2010191 CLIA NUMBER - HEALTHQWEST, LLC

Laboratory Demographics

  • CLIA Code: 11D2010191
  • Facility Name: HEALTHQWEST, LLC
  • Facility Address: 1233 EAGLES LANDING PARKWAY, SUITE C, D, E
    STOCKBRIDGE, GA
    ZIP 30281
  • Facility Phone: 770 474-4009
  • Facility Type: Other - SUBSTANCE ABUSE TX CENTER
  • Facility Type: Waiver
  • Lab Director: CHINONSO A. EZIKE
  • NPI Number: 1174862908
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2010191
LAB Type Other - SUBSTANCE ABUSE TX CENTER
Facility Name HEALTHQWEST, LLC
Street 1233 EAGLES LANDING PARKWAY, SUITE C, D, E
City STOCKBRIDGE
State GA
ZIP 30281
Phone 770 474-4009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Other - SUBSTANCE ABUSE TX CENTER
Lab Director CHINONSO A. EZIKE

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