11D2056143 CLIA NUMBER - WELLSTAR ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 11D2056143
  • Facility Name: WELLSTAR ENDOCRINOLOGY
  • Facility Address: 3747 ROSWELL ROAD, NW, SUITE 202
    MARIETTA, GA
    ZIP 30062
  • Facility Phone: 678 403-4300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RESHMA P. SHAH
  • NPI Number: 1669752911
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2056143
LAB Type Physician Office
Facility Name WELLSTAR ENDOCRINOLOGY
Street 3747 ROSWELL ROAD, NW, SUITE 202
City MARIETTA
State GA
ZIP 30062
Phone 678 403-4300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Physician Office
Lab Director DR. RESHMA P. SHAH

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