11D2051277 CLIA NUMBER - HEALTHY EVER AFTER, INC

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Laboratory Demographics

CLIA Number: 11D2051277

Facility Name: HEALTHY EVER AFTER, INC

Facility Address:
315 S 12TH STREET
GRIFFIN, GA
ZIP 30224
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Facility Phone Number: 770 820-3925

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1285988550

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	11D2051277
LAB Type	Physician Office
Facility Name	HEALTHY EVER AFTER, INC
Street	315 S 12TH STREET
City	GRIFFIN
State	GA
ZIP	30224
Phone	770 820-3925
CertificateType	4
CertificateEffectiveDate	12/17/2022
CertificateExpirationDate	12/16/2024
FacilityType	Waiver

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