11D2091872 CLIA NUMBER - APREMIUM HEALTHCARE SOLUTION, LLC

Laboratory Demographics

  • CLIA Code: 11D2091872
  • Facility Name: APREMIUM HEALTHCARE SOLUTION, LLC
  • Facility Address: 1804 OVERLAKE DRIVE
    CONYERS, GA
    ZIP 30013
  • Facility Phone: 678 964-2026
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DILEANE A. MATTHEWS
  • NPI Number: 1306919576
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2091872
LAB Type Home Health Agency
Facility Name APREMIUM HEALTHCARE SOLUTION, LLC
Street 1804 OVERLAKE DRIVE
City CONYERS
State GA
ZIP 30013
Phone 678 964-2026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Home Health Agency
Lab Director DILEANE A. MATTHEWS

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This page was last updated on: 6/4/2025