11D2016470 CLIA NUMBER - HOLISTIC HLTH MGR LLC DBA MULTI-CARE HOLISTIC HLTH

Laboratory Demographics

  • CLIA Code: 11D2016470
  • Facility Name: HOLISTIC HLTH MGR LLC DBA MULTI-CARE HOLISTIC HLTH
  • Facility Address: 1650 HONEY CREEK COMMONS, SE, SUITE F
    CONYERS, GA
    ZIP 30013
  • Facility Phone: 770 922-2556
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMEELAH GATER
  • NPI Number: 1609185537
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2016470
LAB Type Physician Office
Facility Name HOLISTIC HLTH MGR LLC DBA MULTI-CARE HOLISTIC HLTH
Street 1650 HONEY CREEK COMMONS, SE, SUITE F
City CONYERS
State GA
ZIP 30013
Phone 770 922-2556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Physician Office
Lab Director JAMEELAH GATER

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